Provider Demographics
NPI:1922015684
Name:HOU, NANCY (LAC PHD OMD CMT)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:HOU
Suffix:
Gender:F
Credentials:LAC PHD OMD CMT
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:L
Other - Last Name:HOU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:924 DOVERFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:HACIENDA HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91745-1240
Mailing Address - Country:US
Mailing Address - Phone:626-378-0860
Mailing Address - Fax:
Practice Address - Street 1:9961 VALLEY BLVD STE H
Practice Address - Street 2:
Practice Address - City:EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91731-1053
Practice Address - Country:US
Practice Address - Phone:626-350-1778
Practice Address - Fax:626-213-3233
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10088225700000X
CAAC 2539171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA2539OtherACUPUNCTURE