Provider Demographics
NPI:1336354893
Name:WEN, HUABING (LAC)
Entity Type:Individual
Prefix:
First Name:HUABING
Middle Name:
Last Name:WEN
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2417 34TH ST
Mailing Address - Street 2:UNIT 22
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90405-2134
Mailing Address - Country:US
Mailing Address - Phone:310-314-5587
Mailing Address - Fax:310-314-5587
Practice Address - Street 1:441 S BEVERLY DR
Practice Address - Street 2:SUITE 8
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-4427
Practice Address - Country:US
Practice Address - Phone:310-360-7556
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA5430171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist