Healthcare Provider Details

I. General information

NPI: 1275238578
Provider Name (Legal Business Name): BARTON HUANG
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2023
Last Update Date: 04/04/2023
Certification Date: 03/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 N. STATE STREET CLINIC TOWER, SUITE A7D
LOS ANGELES CA
90033
US

IV. Provider business mailing address

1200 N. STATE STREET CLINIC TOWER, SUITE A7D
LOS ANGELES CA
90033
US

V. Phone/Fax

Practice location:
  • Phone: 323-865-1084
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: