Provider Demographics
NPI:1700296423
Name:HWANG, CHENG-CHIN (L AC)
Entity Type:Individual
Prefix:MR
First Name:CHENG-CHIN
Middle Name:
Last Name:HWANG
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 1:6640 CANTERBURY CT
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95129-3870
Mailing Address - Country:US
Mailing Address - Phone:408-221-5796
Mailing Address - Fax:
Practice Address - Street 1:10601 S DE ANZA BLVD STE 306
Practice Address - Street 2:
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-4451
Practice Address - Country:US
Practice Address - Phone:408-454-9267
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-02
Last Update Date:2018-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15898171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist