Provider Demographics
NPI:1033375845
Name:HUANG, ANGELA W (ANGELA HUANG)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:W
Last Name:HUANG
Suffix:
Gender:F
Credentials:ANGELA HUANG
Other - Prefix:
Other - First Name:WEN CHI
Other - Middle Name:
Other - Last Name:HUANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:2219 S HACIENDA BLVD
Mailing Address - Street 2:STE 208
Mailing Address - City:HACIENDA HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91745-4639
Mailing Address - Country:US
Mailing Address - Phone:626-369-5223
Mailing Address - Fax:626-961-7564
Practice Address - Street 1:2219 S HACIENDA BLVD
Practice Address - Street 2:STE 208
Practice Address - City:HACIENDA HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91745-4639
Practice Address - Country:US
Practice Address - Phone:626-369-5223
Practice Address - Fax:626-961-7564
Is Sole Proprietor?:No
Enumeration Date:2008-07-31
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA57313122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist