Healthcare Provider Details

I. General information

NPI: 1720692312
Provider Name (Legal Business Name): GEORGE HUANG PHARM.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2020
Last Update Date: 09/01/2020
Certification Date: 09/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2620 E CHAPMAN AVE
ORANGE CA
92869-3207
US

IV. Provider business mailing address

173 FOLLYHATCH
IRVINE CA
92618-1050
US

V. Phone/Fax

Practice location:
  • Phone: 714-639-3876
  • Fax:
Mailing address:
  • Phone: 626-374-1847
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number80732
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: