MEDICARE: BREANNA WANTIN HUANG

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	106H00000X	Marriage & Family Therapist	163280	CA

General Provider Information

NPI Number	:	1528723699
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BREANNA WANTIN HUANG

Provider Business Mailing Address
First Line	:	PO BOX 184
Second Line	:
City	:	MONROVIA
State	:	CA
Zip	:	91017-0184
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	595 E COLORADO BLVD STE 433
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91101-2057
Country	:	US
Telephone Number	:	626-206-3139
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/03/2021
Last Update Date	:	06/04/2026

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Directions to “ BREANNA WANTIN HUANG ” Practice Location

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