Provider Demographics
NPI:1154456200
Name:HU, AN (LAC)
Entity Type:Individual
Prefix:MR
First Name:AN
Middle Name:
Last Name:HU
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7940 GARVEY AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:ROSEMEAD
Mailing Address - State:CA
Mailing Address - Zip Code:91770-2454
Mailing Address - Country:US
Mailing Address - Phone:626-569-9801
Mailing Address - Fax:
Practice Address - Street 1:7940 GARVEY AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:ROSEMEAD
Practice Address - State:CA
Practice Address - Zip Code:91770-2454
Practice Address - Country:US
Practice Address - Phone:626-569-9801
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC8644171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist