Healthcare Provider Details

I. General information

NPI: 1659211530
Provider Name (Legal Business Name): DR. VICTORIA TIANGE HU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13580 LOPELIA MEADOWS PL
SAN DIEGO CA
92130-5784
US

IV. Provider business mailing address

13580 LOPELIA MEADOWS PL
SAN DIEGO CA
92130-5784
US

V. Phone/Fax

Practice location:
  • Phone: 718-687-7225
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number111339
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: