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NPI Code Detail

MEDICARE: KEVIN HUANG CHIROPRACTIC, D.C.

MEDICARE: KEVIN HUANG CHIROPRACTIC, D.C.
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
1111N00000XChiropractor31340CA

General Provider Information

NPI Number : 1801116033
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN HUANG CHIROPRACTIC, D.C.
Provider Business Mailing Address
First Line : 4866 TREMEZZO DR
Second Line :
City : CYPRESS
State : CA
Zip : 90630-3557
Country : US
Telephone Number : 714-209-6987
Fax Number :
Provider Business Practice Location Address
First Line : 2020 S HACIENDA BLVD STE D
Second Line :
City : HACIENDA HEIGHTS
State : CA
Zip : 91745-4265
Country : US
Telephone Number : 714-209-6987
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2010
Last Update Date : 09/21/2010

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