Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | AC7301 | CA |
NPI | 1093883217 |
---|---|
Provider Name | Mrs. Vivian H.y. Huang |
First Address | Elk Grove, CA 95624-2231 |
Second Address | Elk Grove, CA 95624-2231 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/12/2006 |
Last Update Date | 22/01/2013 |