Provider Demographics
NPI:1841316544
Name:HU, EMMA YIMEI (OMD LAC)
Entity type:Individual
Prefix:DR
First Name:EMMA
Middle Name:YIMEI
Last Name:HU
Suffix:
Gender:F
Credentials:OMD LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1784 N MILPITAS BLVD
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-2713
Mailing Address - Country:US
Mailing Address - Phone:408-262-8321
Mailing Address - Fax:408-432-0109
Practice Address - Street 1:10311 S. DE ANZA BLVD., SUITE 2
Practice Address - Street 2:
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014
Practice Address - Country:US
Practice Address - Phone:408-252-8667
Practice Address - Fax:408-432-0109
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC7095171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAC7095OtherACUPUNCTURE