Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | A164490 | CA |
N | 208200000X | Surgeon | 2017017589 | MO |
N | 208600000X | Surgeon | 2017017589 | MO |
NPI | 1801316526 |
---|---|
Provider Name | Yue Huang |
First Address | Los Angeles, CA 90095-3075 |
Second Address | Los Angeles, CA 90095-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2017 |
Last Update Date | 25/06/2021 |