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NPI Code Detail

MEDICARE: ROGER HUANG PMHNP-BC

MEDICARE: ROGER HUANG PMHNP-BC
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner95037394CA
2163WP0808XPsychiatric/Mental Health Registered Nurse95296380CA
3163WP0808XPsychiatric/Mental Health Registered NurseRN61393139WA

General Provider Information

NPI Number : 1942073002
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROGER HUANG PMHNP-BC
Provider Business Mailing Address
First Line : 10736 JEFFERSON BLVD # 614
Second Line :
City : CULVER CITY
State : CA
Zip : 90230-4933
Country : US
Telephone Number : 424-210-7724
Fax Number : 800-493-9423
Provider Business Practice Location Address
First Line : 1849 SAWTELLE BLVD STE 610
Second Line :
City : LOS ANGELES
State : CA
Zip : 90025-7013
Country : US
Telephone Number : 424-210-7724
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2023
Last Update Date : 12/08/2025

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Directions to “ ROGER HUANG PMHNP-BC” Practice Location

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