Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | A73715 | CA |
Y | 208600000X | Surgeon | A73715 | CA |
NPI | 1023021367 |
---|---|
Provider Name | Georgeanna J Huang |
First Address | Thousand Oaks, CA 91320-6439 |
Second Address | Thousand Oaks, CA 91320-6439 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2006 |
Last Update Date | 16/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I61222 | (02) |