Basic Information
| Provider Information | |||||||||
| NPI: | 1477624625 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HUK | ||||||||
| FirstName: | MICHAEL | ||||||||
| MiddleName: | E | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 999 N PACIFIC ST | ||||||||
| Address2: | APT. B313 | ||||||||
| City: | OCEANSIDE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 920542005 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7607126773 | ||||||||
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| Practice Location | |||||||||
| Address1: | 410 S MELROSE DR | ||||||||
| Address2: | SUITE 104 | ||||||||
| City: | VISTA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 920816642 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7609404055 | ||||||||
| FaxNumber: | 7609404084 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/10/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085B0100X | A61487 | CA | X | Allopathic & Osteopathic Physicians | Radiology | Body Imaging | 2085R0202X | A61487 | CA | X | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology | 2085R0204X | A61487 | CA | X | Allopathic & Osteopathic Physicians | Radiology | Vascular & Interventional Radiology | 2085U0001X | A61487 | CA | X | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Ultrasound |
No ID Information.