Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 117599 | CA |
N | 207XS0117X | Orthopaedic Spine Surgeon | A117599 | CA |
NPI | 1306158506 |
---|---|
Provider Name | Keun-Heng Huo |
First Address | Fountain Valley, CA 92708-5439 |
Second Address | Fountain Valley, CA 92708-6738 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2010 |
Last Update Date | 04/11/2019 |