Healthcare Provider Details

I. General information

NPI: 1164602728
Provider Name (Legal Business Name): MICHAEL HUOH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/11/2007
Last Update Date: 12/03/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9353 IMPERIAL HWY FL 4 GARDEN MEDICAL OFFICES
DOWNEY CA
90242-2812
US

IV. Provider business mailing address

9353 IMPERIAL HWY FL 4 GARDEN MEDICAL OFFICES
DOWNEY CA
90242-2812
US

V. Phone/Fax

Practice location:
  • Phone: 562-657-2424
  • Fax: 562-657-2359
Mailing address:
  • Phone: 562-657-2424
  • Fax: 562-657-2359

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberA99382
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: