Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | G61652 | CA |
NPI | 1043201155 |
---|---|
Provider Name | Dr. Thomas C Huang |
First Address | Santa Ana, CA 92705-3612 |
Second Address | Santa Ana, CA 92705-3612 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G616520 | (05) | CA |
F08411 | (02) |