Healthcare Provider Details

I. General information

NPI: 1942476338
Provider Name (Legal Business Name): YANG MING HUANG L.AC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2008
Last Update Date: 05/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3046 NORSEWOOD DR
ROWLAND HEIGHTS CA
91748-4842
US

IV. Provider business mailing address

3046 NORSEWOOD DR
ROWLAND HEIGHTS CA
91748-4842
US

V. Phone/Fax

Practice location:
  • Phone: 626-862-5688
  • Fax:
Mailing address:
  • Phone: 626-862-5688
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC 12423
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: