Basic Information
Provider Information
NPI: 1639193147
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HUANG
FirstName: DAVID
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 7001
Address2:  
City: TARZANA
State: CA
PostalCode: 913577001
CountryCode: US
TelephoneNumber: 8188887815
FaxNumber: 8187151722
Practice Location
Address1: 7300 MEDICAL CENTER DR
Address2:  
City: WEST HILLS
State: CA
PostalCode: 913071902
CountryCode: US
TelephoneNumber: 8189841942
FaxNumber: 8187865417
Other Information
ProviderEnumerationDate: 07/27/2006
LastUpdateDate: 11/17/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000XC38235CAY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


Home