Healthcare Provider Details

I. General information

NPI: 1518992635
Provider Name (Legal Business Name): JAMES HUANG D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 E CHAPMAN AVE STE 100
FULLERTON CA
92831-3135
US

IV. Provider business mailing address

2501 E CHAPMAN AVE STE 100
FULLERTON CA
92831-3135
US

V. Phone/Fax

Practice location:
  • Phone: 714-990-0375
  • Fax: 657-217-5565
Mailing address:
  • Phone: 714-990-0375
  • Fax: 657-217-5565

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number20A7771
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: