MEDICARE: SHOU CHIA HUANG DMD INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223D0001X	Public Health Dentistry

General Provider Information

NPI Number	:	1275358152
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHOU CHIA HUANG DMD INC

Provider Business Mailing Address
First Line	:	888 S FIGUEROA ST STE 750
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90017-2776
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	888 S FIGUEROA ST STE 750
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90017-2776
Country	:	US
Telephone Number	:	213-340-3355
Fax Number	:

Authorized Official
Title or Position	:	DENTIST
Name	:	SHOU CHIA HUANG
Credential	:	DMD
Telephone Number	:	949-302-6750

Provider Enumeration Date	:	11/18/2024
Last Update Date	:	10/13/2025

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