Provider Demographics
NPI:1629145016
Name:HUANG, RITA (L AC, OMD)
Entity Type:Individual
Prefix:
First Name:RITA
Middle Name:
Last Name:HUANG
Suffix:
Gender:F
Credentials:L AC, OMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3445 MIDWAY DR STE J
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92110-4921
Mailing Address - Country:US
Mailing Address - Phone:619-223-8988
Mailing Address - Fax:619-223-9898
Practice Address - Street 1:3445 MIDWAY DR STE J
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92110-4921
Practice Address - Country:US
Practice Address - Phone:619-223-8988
Practice Address - Fax:619-223-9898
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC#5122171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist