Healthcare Provider Details

I. General information

NPI: 1649532003
Provider Name (Legal Business Name): JAMES HUANG, DO, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2012
Last Update Date: 03/29/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 W CENTRAL AVE SUITE 109
BREA CA
92821-3013
US

IV. Provider business mailing address

400 W CENTRAL AVE SUITE 109
BREA CA
92821-3013
US

V. Phone/Fax

Practice location:
  • Phone: 714-990-0375
  • Fax: 714-990-0305
Mailing address:
  • Phone: 714-990-0375
  • Fax: 714-990-0305

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES HUANG
Title or Position: PRESIDENT
Credential: D.O.
Phone: 714-990-0375