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General NPI Number Information
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NPI Number | 1972769974
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Entity Type | Individual
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Provider Name | EUGENE HUO M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/30/2008
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Last Update Date | 07/22/2024
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Provider Practice Location Address
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Address Line | 24451 HEALTH CENTER DR
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-3689
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Country | US
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Telephone | 949-837-4500
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Fax |
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Provider Business Mailing Address
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Address Line | 30 N 1900 E RM 1A071
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City | SALT LAKE CITY
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State | UT
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Zip | 84132-2101
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Country | US
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Telephone | 801-339-3796
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Fax | 801-581-2414
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 7884698-1205
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 036118659
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License Number State | IL
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