Provider Demographics
NPI:1740335611
Name:HUANG, DI-LU (L AC)
Entity type:Individual
Prefix:MRS
First Name:DI-LU
Middle Name:
Last Name:HUANG
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3235 SAN GABRIEL BLVD
Mailing Address - Street 2:
Mailing Address - City:ROSEMEAD
Mailing Address - State:CA
Mailing Address - Zip Code:91770-2539
Mailing Address - Country:US
Mailing Address - Phone:626-288-1233
Mailing Address - Fax:626-288-3023
Practice Address - Street 1:3235 SAN GABRIEL BLVD
Practice Address - Street 2:
Practice Address - City:ROSEMEAD
Practice Address - State:CA
Practice Address - Zip Code:91770-2539
Practice Address - Country:US
Practice Address - Phone:626-288-1233
Practice Address - Fax:626-288-3023
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 3833171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA4820224OtherPIN FOR MEDICAL IN CALIF