Healthcare Provider Details
I. General information
NPI: 1407800121
Provider Name (Legal Business Name): DR. TZONG L. HUANG
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/19/2006
Last Update Date: 02/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1801 SOLAR DRIVE #251
OXNARD CA
93030-7652
US
IV. Provider business mailing address
1801 SOLAR DRIVE #251,
OXNARD CA
93030
US
V. Phone/Fax
- Phone: 805-988-6688
- Fax: 805-981-9494
- Phone: 805-988-6688
- Fax: 805-981-9494
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | A33826 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: