Healthcare Provider Details

I. General information

NPI: 1528003514
Provider Name (Legal Business Name): PATTY HUANG M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2006
Last Update Date: 05/31/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HOAG DR.
NEWPORT BEACH CA
92663
US

IV. Provider business mailing address

15 VISTA LESINA
NEWPORT COAST CA
92657
US

V. Phone/Fax

Practice location:
  • Phone: 949-574-4694
  • Fax: 949-574-4680
Mailing address:
  • Phone: 657-241-3359
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA66914
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberA66918
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: