Provider Demographics
NPI:1225460116
Name:HUANG, BO CHENG (L AC)
Entity Type:Individual
Prefix:
First Name:BO
Middle Name:CHENG
Last Name:HUANG
Suffix:
Gender:M
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 1:2137 HATHAWAY AVE
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91803-3941
Mailing Address - Country:US
Mailing Address - Phone:626-278-4451
Mailing Address - Fax:
Practice Address - Street 1:2137 HATHAWAY AVE
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91803-3941
Practice Address - Country:US
Practice Address - Phone:626-278-4451
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-02
Last Update Date:2013-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 15352171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist