Provider Demographics
NPI:1962566653
Name:HUANG, KUANG J (MD)
Entity type:Individual
Prefix:MR
First Name:KUANG
Middle Name:J
Last Name:HUANG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:850 S ATLANTIC BLVD
Mailing Address - Street 2:#304
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-4730
Mailing Address - Country:US
Mailing Address - Phone:626-284-6408
Mailing Address - Fax:626-284-1201
Practice Address - Street 1:850 S ATLANTIC BLVD
Practice Address - Street 2:#304
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-4730
Practice Address - Country:US
Practice Address - Phone:626-284-6408
Practice Address - Fax:626-284-1201
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2015-01-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA417562084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A417560Medicaid
A88574Medicare UPIN
CAA41756Medicare ID - Type Unspecified