MEDICARE: MR. JAMES M HUOT M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	G83499	CA

General Provider Information

NPI Number	:	1033122296
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JAMES M HUOT M.D.

Provider Business Mailing Address
First Line	:	PO BOX 7849
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92513-7849
Country	:	US
Telephone Number	:	951-358-5222
Fax Number	:	951-358-5235

Provider Business Practice Location Address
First Line	:	4343 YAQUI PASS RD
Second Line	:
City	:	BORREGO SPRINGS
State	:	CA
Zip	:	92004-2369
Country	:	US
Telephone Number	:	760-767-5051
Fax Number	:	760-767-4552

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2006
Last Update Date	:	03/07/2023

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