Healthcare Provider Details

I. General information

NPI: 1730371634
Provider Name (Legal Business Name): BING HUANG PH.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2007
Last Update Date: 08/14/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1054 W TOWN AND COUNTRY RD
ORANGE CA
92868-4716
US

IV. Provider business mailing address

1054 W TOWN AND COUNTRY RD
ORANGE CA
92868-4716
US

V. Phone/Fax

Practice location:
  • Phone: 714-796-2532
  • Fax: 714-245-9257
Mailing address:
  • Phone: 714-796-2532
  • Fax: 714-245-9257

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207SC0300X
TaxonomyClinical Cytogenetics Physician
License NumberDRM6
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: