Provider Demographics
NPI:1053654723
Name:WANG, LIHUA (L AC)
Entity Type:Individual
Prefix:MISS
First Name:LIHUA
Middle Name:
Last Name:WANG
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1901 HALFORD AVE APT 34
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95051-7403
Mailing Address - Country:US
Mailing Address - Phone:408-718-5864
Mailing Address - Fax:
Practice Address - Street 1:1901 HALFORD AVE APT 34
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95051-7403
Practice Address - Country:US
Practice Address - Phone:408-718-5864
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-01
Last Update Date:2013-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15160171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist