Healthcare Provider Details

I. General information

NPI: 1306098645
Provider Name (Legal Business Name): FRANK HUANG D.D.S
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/17/2008
Last Update Date: 10/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15912 GALE AVE
HACIENDA HEIGHTS CA
91745-1603
US

IV. Provider business mailing address

15912 GALE AVE
HACIENDA HEIGHTS CA
91745-1603
US

V. Phone/Fax

Practice location:
  • Phone: 626-369-1601
  • Fax: 626-369-3857
Mailing address:
  • Phone: 626-369-1601
  • Fax: 626-369-3857

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberD43973
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: