MEDICARE: VICTORIA HUANGFU

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	PSY 19544	CA
2	103TC0700X	Clinical Psychologist	PY0792	NV

General Provider Information

NPI Number	:	1447382627
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORIA HUANGFU

Provider Business Mailing Address
First Line	:	4425 S JONES BLVD STE D3
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-3370
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4425 S JONES BLVD STE D3
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-3370
Country	:	US
Telephone Number	:	702-900-6561
Fax Number	:	702-227-3915

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/12/2007
Last Update Date	:	03/20/2018

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Directions to “ VICTORIA HUANGFU ” Practice Location

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