Healthcare Provider Details

I. General information

NPI: 1114621174
Provider Name (Legal Business Name): QUANG KIM HUHNH ACUPUNTERIST
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2023
Last Update Date: 03/27/2023
Certification Date: 03/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8338 OAK ST
NEW ORLEANS LA
70118-2044
US

IV. Provider business mailing address

8338 OAK ST
NEW ORLEANS LA
70118-2044
US

V. Phone/Fax

Practice location:
  • Phone: 713-319-7593
  • Fax:
Mailing address:
  • Phone: 713-319-7593
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberACA200008
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: