Provider Demographics
NPI:1457416927
Name:HUANG, AJ H (LAC)
Entity type:Individual
Prefix:MR
First Name:AJ
Middle Name:H
Last Name:HUANG
Suffix:
Gender:M
Credentials:LAC
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Mailing Address - Street 1:500 ALFRED NOBEL DR
Mailing Address - Street 2:SUITE 220
Mailing Address - City:HERCULES
Mailing Address - State:CA
Mailing Address - Zip Code:94547-1838
Mailing Address - Country:US
Mailing Address - Phone:510-741-7300
Mailing Address - Fax:510-741-7360
Practice Address - Street 1:500 ALFRED NOBEL DR
Practice Address - Street 2:SUITE 220
Practice Address - City:HERCULES
Practice Address - State:CA
Practice Address - Zip Code:94547-1838
Practice Address - Country:US
Practice Address - Phone:510-741-7300
Practice Address - Fax:510-741-7360
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAAC9156171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist