Provider Demographics
NPI:1407215270
Name:HUANG, SIYI (PT)
Entity Type:Individual
Prefix:
First Name:SIYI
Middle Name:
Last Name:HUANG
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:318 N GARFIELD AVE STE B
Mailing Address - Street 2:
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-1726
Mailing Address - Country:US
Mailing Address - Phone:626-375-6506
Mailing Address - Fax:
Practice Address - Street 1:318 N GARFIELD AVE STE B
Practice Address - Street 2:
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-1726
Practice Address - Country:US
Practice Address - Phone:626-375-6506
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-22
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT43585225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist