Provider Demographics
NPI:1972880862
Name:HUANG, CHU SHENG (PHARMACIST)
Entity Type:Individual
Prefix:MR
First Name:CHU
Middle Name:SHENG
Last Name:HUANG
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:JASON
Other - Middle Name:CS
Other - Last Name:HUANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2453 S AZUSA AVE
Mailing Address - Street 2:
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91792-1536
Mailing Address - Country:US
Mailing Address - Phone:626-974-3101
Mailing Address - Fax:
Practice Address - Street 1:2453 S AZUSA AVE
Practice Address - Street 2:
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91792-1536
Practice Address - Country:US
Practice Address - Phone:626-974-3101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-07
Last Update Date:2011-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA39676183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist