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JIMMY C. HUANG D.O. A PROFESSIONAL CORP. NPI 1023205010


NPI Information

NPI: 1023205010
Provider Name: JIMMY C. HUANG, D.O. A PROFESSIONAL CORP.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2210 SANTA MONICA BLVD.
SUITE C
SANTA MONICA, CA
ZIP 90404
Phone: (310) 828-1708
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JIMMY C. HUANG, D.O. A PROFESSIONAL CORP. is a family medicine in Santa Monica, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. JIMMY C. HUANG, D.O. A PROFESSIONAL CORP. NPI is 1023205010. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2210 SANTA MONICA BLVD.
SUITE C
SANTA MONICA, CA
ZIP 90404
Phone: (310) 828-1708
Fax: (310) 828-1705

The provider's authorized official is Jimmy C. Huang .
The authorized official title is Ceo and has the following contact phone number (323) 292-0211.

The enumeration date for this NPI number is 10/3/2007 and was last updated on 9/28/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine20A6713CALIFORNIAYes
2261Q00000XClinic/CenterNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G85091MEDICARE UPINCALIFORNIA
2W18969MEDICARE PINCALIFORNIA
3OOAX67131MEDICAIDCALIFORNIA
400AX67131MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.