Provider Demographics
NPI:1114196490
Name:WANG, HU-SHEN (DOM)
Entity type:Individual
Prefix:DR
First Name:HU-SHEN
Middle Name:
Last Name:WANG
Suffix:
Gender:M
Credentials:DOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6685 STOCKTON BLVD
Mailing Address - Street 2:SUITE #5
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95823-1633
Mailing Address - Country:US
Mailing Address - Phone:916-428-8044
Mailing Address - Fax:
Practice Address - Street 1:6685 STOCKTON BLVD
Practice Address - Street 2:SUITE #5
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823-1633
Practice Address - Country:US
Practice Address - Phone:916-428-8044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-21
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA297171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist