Healthcare Provider Details

I. General information

NPI: 1023558186
Provider Name (Legal Business Name): HELEN HUANG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3431 NEWTON ST
TORRANCE CA
90505-6630
US

IV. Provider business mailing address

3431 NEWTON ST
TORRANCE CA
90505-6630
US

V. Phone/Fax

Practice location:
  • Phone: 310-483-9656
  • Fax:
Mailing address:
  • Phone: 310-483-9656
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-11-8502
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: