Healthcare Provider Details

I. General information

NPI: 1821136565
Provider Name (Legal Business Name): RAYMOND ZUIE-TSHONG HUANG OD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/02/2007
Last Update Date: 03/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4482 BARRANCA PKWY STE 190
IRVINE CA
92604-4706
US

IV. Provider business mailing address

4482 BARRANCA PKWY STE 190
IRVINE CA
92604-4706
US

V. Phone/Fax

Practice location:
  • Phone: 949-559-8838
  • Fax: 949-559-9371
Mailing address:
  • Phone: 949-559-8838
  • Fax: 949-559-9371

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOPT 9790T
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: