Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 11308T | CA |
NPI | 1265569040 |
---|---|
Provider Name | Dr. Andy Huang |
First Address | Los Angeles, CA 90022-3008 |
Second Address | Los Angeles, CA 90022-3008 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2007 |
Last Update Date | 08/07/2007 |