Healthcare Provider Details

I. General information

NPI: 1144255183
Provider Name (Legal Business Name): JANET S. HUANG D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 CREEK RD SUITE #250
IRVINE CA
92604-4791
US

IV. Provider business mailing address

8 BELLEZZA
IRVINE CA
92620-1815
US

V. Phone/Fax

Practice location:
  • Phone: 949-733-0168
  • Fax: 949-733-0161
Mailing address:
  • Phone: 949-733-0168
  • Fax: 949-733-0161

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number20A7467
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: