Provider Demographics
NPI:1710089040
Name:HUANG, HAICHAO (LAC,OMD)
Entity Type:Individual
Prefix:
First Name:HAICHAO
Middle Name:
Last Name:HUANG
Suffix:
Gender:M
Credentials:LAC,OMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 8TH AVE
Mailing Address - Street 2:SUITE203
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-3055
Mailing Address - Country:US
Mailing Address - Phone:415-386-0382
Mailing Address - Fax:
Practice Address - Street 1:402 8TH AVE
Practice Address - Street 2:SUITE203
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-3055
Practice Address - Country:US
Practice Address - Phone:415-386-0382
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC8705171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist