Basic Information
| Provider Information | |||||||||
| NPI: | 1245471275 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HUOH | ||||||||
| FirstName: | KEVIN | ||||||||
| MiddleName: | CHUNG-KAI | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1010 W LA VETA AVE | ||||||||
| Address2: | SUITE 640 | ||||||||
| City: | ORANGE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 928684300 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 1010 W LA VETA AVE | ||||||||
| Address2: | SUITE 640 | ||||||||
| City: | ORANGE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 928684300 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7146334020 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/21/2009 | ||||||||
| LastUpdateDate: | 03/07/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Y00000X | A106715 | CA | N | Allopathic & Osteopathic Physicians | Otolaryngology | 207YP0228X | A106715 | CA | Y | Allopathic & Osteopathic Physicians | Otolaryngology | Pediatric Otolaryngology |
No ID Information.