Provider Demographics
NPI:1417981507
Name:HUANG, WEI (DPT)
Entity Type:Individual
Prefix:
First Name:WEI
Middle Name:
Last Name:HUANG
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1208 S GARFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-5036
Mailing Address - Country:US
Mailing Address - Phone:626-282-1218
Mailing Address - Fax:626-282-6968
Practice Address - Street 1:1208 S GARFIELD AVE
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-5036
Practice Address - Country:US
Practice Address - Phone:626-282-6268
Practice Address - Fax:626-282-6968
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2009-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT25437225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
200506793OtherFEDERAL TAX ID NUMBER
200506793OtherFEDERAL TAX ID NUMBER