Healthcare Provider Details

I. General information

NPI: 1801714498
Provider Name (Legal Business Name): HUNTINGTON SURGICAL EXCELLENCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

943 S RAYMOND AVE
PASADENA CA
91105-3225
US

IV. Provider business mailing address

1141 FREMONT AVE
SOUTH PASADENA CA
91030-3226
US

V. Phone/Fax

Practice location:
  • Phone: 626-799-2999
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: STEPHEN GOEI
Title or Position: CEO
Credential: DDS
Phone: 626-799-2999