Healthcare Provider Details

I. General information

NPI: 1588146302
Provider Name (Legal Business Name): ANA HUA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANH HUA

II. Dates (important events)

Enumeration Date: 08/29/2018
Last Update Date: 09/18/2025
Certification Date: 09/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

842 E MISSION RD STE C
SAN GABRIEL CA
91776-2761
US

IV. Provider business mailing address

418 E LAS TUNAS DR UNIT 3G
SAN GABRIEL CA
91776-5506
US

V. Phone/Fax

Practice location:
  • Phone: 626-571-8660
  • Fax: 844-270-2240
Mailing address:
  • Phone: 626-571-8660
  • Fax: 844-270-2240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 2
Primary TaxonomyN
Taxonomy Code156F00000X
TaxonomyTechnician/Technologist
License NumberL9582
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberL9582
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberL9582
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code225500000X
TaxonomyRespiratory/Developmental/Rehabilitative Specialist/Technologist
License NumberL9582
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: