Provider Demographics
NPI:1235901786
Name:GAO, HUIYING
Entity Type:Individual
Prefix:
First Name:HUIYING
Middle Name:
Last Name:GAO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:HUIYING
Other - Middle Name:
Other - Last Name:GAO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2108 METAIRIE CT
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70001-2165
Mailing Address - Country:US
Mailing Address - Phone:504-577-6868
Mailing Address - Fax:
Practice Address - Street 1:8937 JEFFERSON HWY STE B
Practice Address - Street 2:
Practice Address - City:RIVER RIDGE
Practice Address - State:LA
Practice Address - Zip Code:70123-3524
Practice Address - Country:US
Practice Address - Phone:504-470-2467
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-27
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LALA9147225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty