Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 104006 | CA |
Y | 213EG0000X | General Practice | 104006 | CA |
NPI | 1003303140 |
---|---|
Provider Name | Li Hong Huang |
First Address | Cerritos, CA 90703-6568 |
Second Address | Garden Grove, CA 92840-3147 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2018 |
Last Update Date | 15/10/2019 |