Healthcare Provider Details

I. General information

NPI: 1083907380
Provider Name (Legal Business Name): CHIOU FARN HUANG HOFFMAN L.AC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHIOU-FARN HUANG

II. Dates (important events)

Enumeration Date: 05/18/2011
Last Update Date: 05/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6545 FRANCE AVE S SUITE C21
EDINA MN
55435-2131
US

IV. Provider business mailing address

943 IDAHO AVE W
SAINT PAUL MN
55117-3350
US

V. Phone/Fax

Practice location:
  • Phone: 952-922-5000
  • Fax: 952-922-5003
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number1557
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: