Provider Demographics
NPI:1497913677
Name:FANG, YAOHUI (ACUPUNCTURIST)
Entity Type:Individual
Prefix:
First Name:YAOHUI
Middle Name:
Last Name:FANG
Suffix:
Gender:M
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:166 CALIFORNIA ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-3677
Mailing Address - Country:US
Mailing Address - Phone:626-254-9362
Mailing Address - Fax:
Practice Address - Street 1:166 CALIFORNIA ST UNIT B
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-3677
Practice Address - Country:US
Practice Address - Phone:626-254-9362
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-24
Last Update Date:2008-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA4986171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAC 4986OtherACUPUNCTURE