Healthcare Provider Details

I. General information

NPI: 1740513647
Provider Name (Legal Business Name): FRANK HUANG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2009
Last Update Date: 11/29/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4647 ZION AVE PULMONARY DISEASES
SAN DIEGO CA
92120-2507
US

IV. Provider business mailing address

4647 ZION AVE PULMONARY DISEASES
SAN DIEGO CA
92120-2507
US

V. Phone/Fax

Practice location:
  • Phone: 877-236-0333
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberA125263
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberA125263
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: