Provider Demographics
NPI:1316961550
Name:HUANG, BARRY P (MD)
Entity type:Individual
Prefix:
First Name:BARRY
Middle Name:P
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 1:6033 W CENTURY BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-6440
Mailing Address - Country:US
Mailing Address - Phone:310-215-1600
Mailing Address - Fax:310-479-1459
Practice Address - Street 1:6033 W CENTURY BLVD STE 200
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90045-6440
Practice Address - Country:US
Practice Address - Phone:310-215-1600
Practice Address - Fax:310-479-1459
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA905612085R0202X, 208D00000X, 207UN0903X, 2083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207UN0903XAllopathic & Osteopathic PhysiciansNuclear MedicineIn Vivo & In Vitro Nuclear Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A905610Medicaid
CAGR0106039Medicaid
CA00A905615Medicare PIN
CA00A905617Medicare PIN
CAAN240YMedicare PIN
CAWA90561EMedicare PIN
CA00A9056110Medicare PIN
CAI 63725Medicare UPIN
CAGR0106039Medicaid
CA00A905610Medicaid
CA00A905616Medicare PIN
CAWA90561FMedicare PIN
CAWA90561IMedicare PIN
CA00A905614Medicare PIN
ARWA90561CMedicare PIN
CAAN240XMedicare PIN
CA00A9056111Medicare PIN
CA00A905613Medicare PIN
CAWA90561BMedicare PIN
CAWA90561AMedicare PIN
CAWA90561DMedicare PIN
CAAX145ZMedicare PIN
CATP051AMedicare PIN
CA00A905610Medicare PIN