Provider Demographics
NPI:1124247861
Name:HUANG, RICHARD HAO (MD)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:HAO
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 1:12595 HESPERIA RD SUITE 101
Mailing Address - Street 2:
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92395-8318
Mailing Address - Country:US
Mailing Address - Phone:760-881-3377
Mailing Address - Fax:760-881-3379
Practice Address - Street 1:12595 HESPERIA ROAD SUITE 101
Practice Address - Street 2:
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92395-8318
Practice Address - Country:US
Practice Address - Phone:760-881-3377
Practice Address - Fax:760-881-3379
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2012-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA81227207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology