Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 48291 | CA |
NPI | 1063636272 |
---|---|
Provider Name | Dr. Sheng-Jia Cynthia Huang |
First Address | Huntington Beach, CA 92648-1707 |
Second Address | Huntington Beach, CA 92648-1707 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2007 |
Last Update Date | 08/07/2007 |