Healthcare Provider Details

I. General information

NPI: 1477611473
Provider Name (Legal Business Name): HARVEY M. HUANG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: HARVEY M. HUANG M.D.

II. Dates (important events)

Enumeration Date: 12/04/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2089 PASEO NOCHE
CAMARILLO CA
93012-9371
US

IV. Provider business mailing address

2089 PASEO NOCHE 6717 ARMITOS DR.
CAMARILLO CA
93012-9371
US

V. Phone/Fax

Practice location:
  • Phone: 805-341-4909
  • Fax: 805-482-6479
Mailing address:
  • Phone: 805-482-6479
  • Fax: 805-482-6479

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA 31503
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA 31503
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: