MEDICARE: RAYMOND I 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	207RC0000X	Cardiovascular Disease Physician	A70992	CA
2	207RI0011X	Interventional Cardiology Physician	A 70992	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00A709922	OTHER	CA	MEDICARE

General Provider Information

NPI Number	:	1891783437
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAYMOND I HUANG M.D.

Provider Business Mailing Address
First Line	:	2242 CAMDEN AVE STE 201
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95124-2029
Country	:	US
Telephone Number	:	408-356-8784
Fax Number	:	408-358-5357

Provider Business Practice Location Address
First Line	:	2242 CAMDEN AVE STE 201
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95124-2029
Country	:	US
Telephone Number	:	408-356-8784
Fax Number	:	408-358-5357

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

Provider Enumeration Date	:	10/07/2005
Last Update Date	:	07/23/2024

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Directions to “ RAYMOND I HUANG M.D.” Practice Location

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