Healthcare Provider Details

I. General information

NPI: 1689390270
Provider Name (Legal Business Name): MS. BETA HUANG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/14/2022
Last Update Date: 10/14/2022
Certification Date: 10/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2388 35TH AVE SUITE 201
SAN FRANCISCO CA
94116
US

IV. Provider business mailing address

2388 35TH AVE SUITE 201
SAN FRANCISCO CA
94116
US

V. Phone/Fax

Practice location:
  • Phone: 415-753-3418
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC19546
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: