MEDICARE: MR. HEMING HUANG OPTICAN

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	156FX1800X	Optician	23720	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932380581
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. HEMING HUANG OPTICAN

Provider Business Mailing Address
First Line	:	5806 CLOVERLY AVE APT A
Second Line	:
City	:	TEMPLE CITY
State	:	CA
Zip	:	91780-2128
Country	:	US
Telephone Number	:	626-287-7700
Fax Number	:

Provider Business Practice Location Address
First Line	:	1239 E VALLEY BLVD
Second Line	:
City	:	ALHAMBRA
State	:	CA
Zip	:	91801-5235
Country	:	US
Telephone Number	:	626-289-2021
Fax Number	:	626-289-2021

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

Provider Enumeration Date	:	11/23/2007
Last Update Date	:	11/23/2007

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