Healthcare Provider Details

I. General information

NPI: 1144650573
Provider Name (Legal Business Name): DENNY HUANG M.S.W
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/21/2013
Last Update Date: 12/31/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1373 CENTER COURT DR
COVINA CA
91724-3663
US

IV. Provider business mailing address

PO BOX 27462
ANAHEIM CA
92809-0115
US

V. Phone/Fax

Practice location:
  • Phone: 310-938-1643
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number30270255
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: