Healthcare Provider Details

I. General information

NPI: 1851023998
Provider Name (Legal Business Name): EMILY HUANG DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/28/2022
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8767 WILSHIRE BLVD FL 3
BEVERLY HILLS CA
90211-2714
US

IV. Provider business mailing address

8767 WILSHIRE BLVD FL 3
BEVERLY HILLS CA
90211-2714
US

V. Phone/Fax

Practice location:
  • Phone: 310-385-6031
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberSL1884
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number20A23774
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDO3757
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: