Individual
STEPHEN HUANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
625 S FAIR OAKS AVE STE 400, PASADENA, CA 91105-2684
(626) 568-1622
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(626) 568-1622
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
4301087241
MI
207RH0003X
Hematology & Oncology Physician
4301087241
MI
207RH0003X
Hematology & Oncology Physician
Primary
C54719
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00341339
RR MEDICARE
MI
Enumeration date
03/31/2006
Last updated
03/22/2021
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