Provider Demographics
NPI:1790915734
Name:HUANG, ANGELA CHIEN-CHIH (OD)
Entity Type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:CHIEN-CHIH
Last Name:HUANG
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15762 GUN TREE DR
Mailing Address - Street 2:
Mailing Address - City:HACIENDA HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91745-6352
Mailing Address - Country:US
Mailing Address - Phone:626-922-4050
Mailing Address - Fax:626-961-9946
Practice Address - Street 1:310 BARBER CT
Practice Address - Street 2:
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-7922
Practice Address - Country:US
Practice Address - Phone:626-922-4050
Practice Address - Fax:626-961-9946
Is Sole Proprietor?:No
Enumeration Date:2009-07-24
Last Update Date:2009-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13722152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist