Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
JIMMY C. HUANG, D.O. A PROFESSIONAL CORP.
Active
Organization
JIMMY C. HUANG, D.O. A PROFESSIONAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIMMY C. HUANG D.O. (CEO)
(323) 292-0211
Entity
Organization
Contact information
Practice address
2210 SANTA MONICA BLVD., SUITE C, SANTA MONICA, CA 90404
(310) 828-1708
(310) 828-1705
Mailing address
1158 26TH STREET, SUITE 570, SANTA MONICA, CA 90403
(310) 453-3668
(310) 453-3634
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A6713
CA
261Q00000X
Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX67131
—
CA
05
—
OOAX67131
—
CA
Enumeration date
10/03/2007
Last updated
09/28/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up