Healthcare Provider Details

I. General information

NPI: 1023464583
Provider Name (Legal Business Name): JIAMEI HUANG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2016
Last Update Date: 05/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

53 CRONIN DR
SANTA CLARA CA
95051-6719
US

IV. Provider business mailing address

53 CRONIN DR
SANTA CLARA CA
95051-6719
US

V. Phone/Fax

Practice location:
  • Phone: 408-217-2629
  • Fax: 408-984-2456
Mailing address:
  • Phone: 408-217-2629
  • Fax: 408-984-2456

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: