Provider Demographics
NPI:1932380581
Name:HUANG, HEMING (OPTICAN)
Entity type:Individual
Prefix:MR
First Name:HEMING
Middle Name:
Last Name:HUANG
Suffix:
Gender:M
Credentials:OPTICAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5806 CLOVERLY AVE APT A
Mailing Address - Street 2:
Mailing Address - City:TEMPLE CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91780-2128
Mailing Address - Country:US
Mailing Address - Phone:626-287-7700
Mailing Address - Fax:
Practice Address - Street 1:1239 E VALLEY BLVD
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-5235
Practice Address - Country:US
Practice Address - Phone:626-289-2021
Practice Address - Fax:626-289-2021
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-23
Last Update Date:2007-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23720156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADX005890FMedicaid