Healthcare Provider Details

I. General information

NPI: 1215076872
Provider Name (Legal Business Name): YU LIN HUANG L.A.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1986 10TH AVE
SAN FRANCISCO CA
94116-1331
US

IV. Provider business mailing address

1986 10TH AVE
SAN FRANCISCO CA
94116-1331
US

V. Phone/Fax

Practice location:
  • Phone: 415-566-8537
  • Fax: 415-566-8537
Mailing address:
  • Phone: 415-566-8537
  • Fax: 415-566-8537

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC 131
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: