Provider Demographics
NPI:1376940494
Name:HUANG, WEIMING
Entity Type:Individual
Prefix:
First Name:WEIMING
Middle Name:
Last Name:HUANG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:503 1/2 UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-4459
Mailing Address - Country:US
Mailing Address - Phone:408-618-1415
Mailing Address - Fax:
Practice Address - Street 1:14150 BLOSSOM HILL RD
Practice Address - Street 2:
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-5118
Practice Address - Country:US
Practice Address - Phone:408-618-1415
Practice Address - Fax:628-232-2468
Is Sole Proprietor?:No
Enumeration Date:2014-12-04
Last Update Date:2016-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC16380171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist