Healthcare Provider Details

I. General information

NPI: 1992019665
Provider Name (Legal Business Name): DR. GEORGE HU
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/04/2010
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date: 09/03/2025
Reactivation Date: 08/19/2026

III. Provider practice location address

13405 ARTESIA BLVD
CERRITOS CA
90703-8845
US

IV. Provider business mailing address

13405 ARTESIA BLVD
CERRITOS CA
90703-8845
US

V. Phone/Fax

Practice location:
  • Phone: 562-330-4013
  • Fax:
Mailing address:
  • Phone: 562-330-4013
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY25829
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: