Healthcare Provider Details

I. General information

NPI: 1225126899
Provider Name (Legal Business Name): CHRIS HUANG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: XIANCHENG HUANG MD

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 02/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 E WASHINGTON ST STE 155
COLTON CA
92324-4196
US

IV. Provider business mailing address

PO BOX 3098
TORRANCE CA
90510-3098
US

V. Phone/Fax

Practice location:
  • Phone: 909-370-2190
  • Fax:
Mailing address:
  • Phone: 310-792-3914
  • Fax: 855-898-4055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number00A815340
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: