Healthcare Provider Details

I. General information

NPI: 1487862033
Provider Name (Legal Business Name): CHE-YANG HUANG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 S GARFIELD AVE
ALHAMBRA CA
91801-4709
US

IV. Provider business mailing address

659 GRANT ST
UPLAND CA
91784-1919
US

V. Phone/Fax

Practice location:
  • Phone: 626-281-3383
  • Fax:
Mailing address:
  • Phone: 909-981-9559
  • Fax: 909-982-9003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VH0002X
TaxonomyHospice and Palliative Medicine (Obstetrics & Gynecology) Physician
License NumberA30880
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: