Healthcare Provider Details

I. General information

NPI: 1538153242
Provider Name (Legal Business Name): MICHAEL BORCHARD HUFF MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2005
Last Update Date: 07/20/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 N N ST
OXNARD CA
93030-4805
US

IV. Provider business mailing address

540 N N ST
OXNARD CA
93030-4805
US

V. Phone/Fax

Practice location:
  • Phone: 805-487-0373
  • Fax:
Mailing address:
  • Phone: 805-487-0373
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA34873
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: