Provider Demographics
NPI:1326602541
Name:HUANG, VICTOR CHONG (PA)
Entity type:Individual
Prefix:
First Name:VICTOR
Middle Name:CHONG
Last Name:HUANG
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:27674 NEWHALL RANCH RD
Mailing Address - Street 2:STE C85
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-4020
Mailing Address - Country:US
Mailing Address - Phone:661-383-7136
Mailing Address - Fax:818-356-4380
Practice Address - Street 1:1313 N MILPITAS BLVD STE 265
Practice Address - Street 2:
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-3190
Practice Address - Country:US
Practice Address - Phone:844-310-2247
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-23
Last Update Date:2019-12-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA56928363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant