Provider Demographics
NPI:1588718175
Name:HUANG, LIJIANG (DDS)
Entity type:Individual
Prefix:DR
First Name:LIJIANG
Middle Name:
Last Name:HUANG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:526 WORKMAN AVE
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007-8455
Mailing Address - Country:US
Mailing Address - Phone:626-446-9239
Mailing Address - Fax:
Practice Address - Street 1:2140 W VALLEY BLVD
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91803-1926
Practice Address - Country:US
Practice Address - Phone:626-284-8881
Practice Address - Fax:626-284-6805
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA414221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice