Healthcare Provider Details

I. General information

NPI: 1982191433
Provider Name (Legal Business Name): SHENG HSIANG HUANG
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2018
Last Update Date: 04/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6521 VAN NUYS BLVD
VAN NUYS CA
91401-1425
US

IV. Provider business mailing address

14405 CERISE AVE APT 11
HAWTHORNE CA
90250-8580
US

V. Phone/Fax

Practice location:
  • Phone: 818-933-2010
  • Fax:
Mailing address:
  • Phone: 818-651-1669
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: