Provider Demographics
NPI:1356541742
Name:HUANG, AILEEN AI-LING (L AC)
Entity type:Individual
Prefix:MS
First Name:AILEEN
Middle Name:AI-LING
Last Name:HUANG
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:865 W EL CAMINO REAL
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-2511
Mailing Address - Country:US
Mailing Address - Phone:650-814-6432
Mailing Address - Fax:650-965-1188
Practice Address - Street 1:865 W EL CAMINO REAL
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-2511
Practice Address - Country:US
Practice Address - Phone:650-814-6432
Practice Address - Fax:650-965-1188
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-23
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 6108171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist