Provider Demographics
NPI:1831494251
Name:HUANG, CHUNG CHAO (LAC)
Entity type:Individual
Prefix:DR
First Name:CHUNG CHAO
Middle Name:
Last Name:HUANG
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1580 OAKLAND RD
Mailing Address - Street 2:SUITE #C100
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95131-2440
Mailing Address - Country:US
Mailing Address - Phone:408-657-0889
Mailing Address - Fax:
Practice Address - Street 1:1580 OAKLAND RD
Practice Address - Street 2:SUITE #C100
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95131-2440
Practice Address - Country:US
Practice Address - Phone:408-657-0889
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-14
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC11915171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist