Individual
GARY G. HUFFAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10800 MAGNOLIA AVE, RIVERSIDE, CA 92505-3043
(909) 353-2000
Mailing address
393 E WALNUT ST, 3RD FLOOR PHR SYSTEMS, PASADENA, CA 91188-0001
(626) 405-3640
(626) 405-6768
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G29747
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G297470
—
CA
Enumeration date
12/08/2006
Last updated
07/08/2007
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