Healthcare Provider Details

I. General information

NPI: 1710802962
Provider Name (Legal Business Name): JOHN WOO HUH CCC-SLP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

244 E VALENCIA DR
FULLERTON CA
92832-2440
US

IV. Provider business mailing address

1401 W VALENCIA DR
FULLERTON CA
92833-3998
US

V. Phone/Fax

Practice location:
  • Phone: 714-447-7590
  • Fax:
Mailing address:
  • Phone: 714-447-7400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number15893
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: