Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | G085297 | CA |
NPI | 1942322862 |
---|---|
Provider Name | Dr. Edgar Huang Ling |
First Address | Oceanside, CA 92056-5400 |
Second Address | La Jolla, CA 92037-1223 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2007 |
Last Update Date | 30/09/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F84606 | (02) | |
G085297 | MEDICAL LIC (01) | CA |
MD 058414L | MEDICAL LIC (01) | PA |
MD180479 | MEDICAL LIC (01) | NY |