Provider Demographics
NPI:1598804080
Name:HAO, JIANG (PHD OMD LAC DIPACCH)
Entity Type:Individual
Prefix:DR
First Name:JIANG
Middle Name:
Last Name:HAO
Suffix:
Gender:F
Credentials:PHD OMD LAC DIPACCH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13861 BEACH BLVD
Mailing Address - Street 2:SUITE 7
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-4002
Mailing Address - Country:US
Mailing Address - Phone:714-890-5935
Mailing Address - Fax:949-203-0419
Practice Address - Street 1:13861 BEACH BLVD
Practice Address - Street 2:SUITE 7
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-4002
Practice Address - Country:US
Practice Address - Phone:714-890-5935
Practice Address - Fax:949-203-0419
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 6993171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist