Xiaoqiong Huang
Nurse Practitioner in San Gabriel, CA. Individual provider (NPI-1).
NPI number1487119103
StatusActive
Last updated in NPPESFeb 6, 2019
Details
- NPI
- 1487119103
- Entity type
- Individual (NPI-1)
- Name
- Xiaoqiong Huang
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 6, 2019
- Last updated
- Feb 6, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 95011069 | CA | Yes |
Practice location
316 E Las Tunas Dr Ste 101San Gabriel, CA 91776-1535
Phone 626-286-6168
Mailing address
244 N San Marino AveSan Gabriel, CA 91775-2910
Phone 310-600-4718
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