Organization
A K HUFFAKER MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARDATH HUFFAKER MD (PRESIDENT)
(619) 502-5800
Entity
Organization
Contact information
Practice address
751 MEDICAL CENTER CT, CHULA VISTA, CA 91911-6617
(619) 502-5800
Mailing address
PO BOX 10076, VAN NUYS, CA 91410-0076
(805) 578-8300
(805) 578-8950
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G42895
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G428950
—
CA
Enumeration date
10/21/2009
Last updated
10/21/2009
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