Provider Demographics
NPI:1083916878
Name:YING HUANG DOCTOR OF CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:YING HUANG DOCTOR OF CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:YING
Authorized Official - Middle Name:
Authorized Official - Last Name:HUANG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:626-572-5388
Mailing Address - Street 1:8632 E. VALLEY BLVD, STE H
Mailing Address - Street 2:
Mailing Address - City:ROSEMEAD
Mailing Address - State:CA
Mailing Address - Zip Code:91770
Mailing Address - Country:US
Mailing Address - Phone:626-572-5388
Mailing Address - Fax:626-573-5386
Practice Address - Street 1:8632 VALLEY BLVD STE H
Practice Address - Street 2:
Practice Address - City:ROSEMEAD
Practice Address - State:CA
Practice Address - Zip Code:91770-1740
Practice Address - Country:US
Practice Address - Phone:626-572-5388
Practice Address - Fax:626-573-5386
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-30
Last Update Date:2012-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 23280111NI0013X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NI0013XChiropractic ProvidersChiropractorIndependent Medical ExaminerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1114098845Medicare NSC