Provider Demographics
NPI:1184497794
Name:HUANG, CHAO (L AC)
Entity type:Individual
Prefix:
First Name:CHAO
Middle Name:
Last Name:HUANG
Suffix:
Gender:M
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2342 LOMITA ST UNIT C
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-6631
Mailing Address - Country:US
Mailing Address - Phone:805-389-0333
Mailing Address - Fax:
Practice Address - Street 1:2342 LOMITA ST UNIT C
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-6631
Practice Address - Country:US
Practice Address - Phone:805-389-0333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-06
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19899171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist