Healthcare Provider Details

I. General information

NPI: 1326010547
Provider Name (Legal Business Name): WEI-CHI HUANG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 02/02/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2650 JONES WAY #11
SIMI VALLEY CA
93065
US

IV. Provider business mailing address

2650 JONES WAY #11
SIMI VALLEY CA
93065
US

V. Phone/Fax

Practice location:
  • Phone: 805-526-2700
  • Fax: 805-526-0231
Mailing address:
  • Phone: 805-526-2700
  • Fax: 805-526-0231

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA36081
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: