Provider Demographics
NPI:1255681508
Name:HU, CHIH-CHIANG (PHD, LAC)
Entity Type:Individual
Prefix:DR
First Name:CHIH-CHIANG
Middle Name:
Last Name:HU
Suffix:
Gender:M
Credentials:PHD, LAC
Other - Prefix:DR
Other - First Name:ERIC
Other - Middle Name:C
Other - Last Name:HU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD, LAC
Mailing Address - Street 1:20630 VIA VERONICA
Mailing Address - Street 2:
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92887-3118
Mailing Address - Country:US
Mailing Address - Phone:714-970-6263
Mailing Address - Fax:714-485-2452
Practice Address - Street 1:6200 E CANYON RIM RD STE 113E
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92807-4317
Practice Address - Country:US
Practice Address - Phone:714-974-0330
Practice Address - Fax:714-974-1434
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-13
Last Update Date:2014-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC1227171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist