Provider Demographics
NPI:1104003128
Name:HUANG, PAO HSUAN (LAC)
Entity Type:Individual
Prefix:
First Name:PAO
Middle Name:HSUAN
Last Name:HUANG
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:TIFFANY
Other - Middle Name:
Other - Last Name:HUANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:120 E REMINGTON DR
Mailing Address - Street 2:APT 614
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-2654
Mailing Address - Country:US
Mailing Address - Phone:408-230-2282
Mailing Address - Fax:408-986-8597
Practice Address - Street 1:2338 CALLE DEL MUNDO
Practice Address - Street 2:SUITE A
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95054-1045
Practice Address - Country:US
Practice Address - Phone:408-986-8598
Practice Address - Fax:408-986-8597
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-22
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC11204171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist