Provider Demographics
NPI:1699930669
Name:HUANG, TINGSHU (LAC)
Entity type:Individual
Prefix:
First Name:TINGSHU
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 1:683 INDIAN HILL BLVD
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91767-5303
Mailing Address - Country:US
Mailing Address - Phone:909-620-7884
Mailing Address - Fax:909-469-2467
Practice Address - Street 1:683 INDIAN HILL BLVD
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91767-5303
Practice Address - Country:US
Practice Address - Phone:909-620-7884
Practice Address - Fax:909-469-2467
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-18
Last Update Date:2008-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 8827171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist