Healthcare Provider Details

I. General information

NPI: 1811432842
Provider Name (Legal Business Name): JUDY HUANG LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/29/2016
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5619 N FIGUEROA ST APT 212
LOS ANGELES CA
90042-4978
US

IV. Provider business mailing address

5619 N FIGUEROA ST APT 212
LOS ANGELES CA
90042-4978
US

V. Phone/Fax

Practice location:
  • Phone: 213-787-7570
  • Fax:
Mailing address:
  • Phone: 213-787-7570
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number114481
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: