Healthcare Provider Details

I. General information

NPI: 1740439967
Provider Name (Legal Business Name): THOMAS L. HUANG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2008
Last Update Date: 11/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 E HUNTINGTON DR
ARCADIA CA
91006-3748
US

IV. Provider business mailing address

450 E HUNTINGTON DR
ARCADIA CA
91006-3748
US

V. Phone/Fax

Practice location:
  • Phone: 626-462-1884
  • Fax:
Mailing address:
  • Phone: 626-462-1884
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberA90503
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: