Healthcare Provider Details

I. General information

NPI: 1821543950
Provider Name (Legal Business Name): CATHERINE HUANG O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2016
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 BRISTOL ST N STE 15
NEWPORT BEACH CA
92660-8916
US

IV. Provider business mailing address

1000 BRISTOL ST N STE 15
NEWPORT BEACH CA
92660-8916
US

V. Phone/Fax

Practice location:
  • Phone: 949-476-2870
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number33509
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: