Healthcare Provider Details

I. General information

NPI: 1851072011
Provider Name (Legal Business Name): HUANG ACUPUNCTURE & HERB INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2023
Last Update Date: 07/28/2023
Certification Date: 07/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14351 RED HILL AVE STE C
TUSTIN CA
92780-6271
US

IV. Provider business mailing address

14351 RED HILL AVE STE C
TUSTIN CA
92780-6271
US

V. Phone/Fax

Practice location:
  • Phone: 714-580-3808
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. GING HAO HUANG
Title or Position: PRESIDENT & CEO
Credential: LAC
Phone: 714-580-3808