Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | A88833 | CA |
NPI | 1023080355 |
---|---|
Provider Name | Dr. Charles Qing Huang |
First Address | Vacaville, CA 95688-9430 |
Second Address | Vacaville, CA 95688-9430 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2006 |
Last Update Date | 11/02/2022 |