Provider Demographics
NPI:1124151303
Name:HUANG, DONNY PO-SHENG (MD)
Entity type:Individual
Prefix:
First Name:DONNY
Middle Name:PO-SHENG
Last Name:HUANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2840 LONG BEACH BLVD
Mailing Address - Street 2:SUITE 408
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90806-1516
Mailing Address - Country:US
Mailing Address - Phone:714-308-3068
Mailing Address - Fax:
Practice Address - Street 1:2840 LONG BEACH BLVD
Practice Address - Street 2:SUITE 408
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-1516
Practice Address - Country:US
Practice Address - Phone:714-308-3068
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA72296207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWA72296DMedicare ID - Type UnspecifiedRENDERING PROV #
CAWA72296CMedicare ID - Type UnspecifiedRENDERING PROV #
CAH21175Medicare UPIN