MEDICARE: DR. ALBERT HUANG 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	208100000X	Physical Medicine & Rehabilitation Physician	MT190761	PA
2	208100000X	Physical Medicine & Rehabilitation Physician	MD441833	PA

General Provider Information

NPI Number	:	1831376094
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALBERT HUANG M.D.

Provider Business Mailing Address
First Line	:	8780 19TH STREET
Second Line	:	# 278
City	:	ALTA LOMA
State	:	CA
Zip	:	91701
Country	:	US
Telephone Number	:	909-236-7388
Fax Number	:

Provider Business Practice Location Address
First Line	:	12442 LIMONITE AVE UNIT 211
Second Line	:
City	:	EASTVALE
State	:	CA
Zip	:	91752-2467
Country	:	US
Telephone Number	:	909-236-7388
Fax Number	:

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

Provider Enumeration Date	:	01/29/2008
Last Update Date	:	08/04/2017

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