Provider Demographics
NPI:1497796049
Name:HUANG, JANNET TON-MING (MD)
Entity Type:Individual
Prefix:DR
First Name:JANNET
Middle Name:TON-MING
Last Name:HUANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17875 VON KARMAN AVE STE 430
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-6212
Mailing Address - Country:US
Mailing Address - Phone:949-872-2850
Mailing Address - Fax:949-872-2855
Practice Address - Street 1:17875 VON KARMAN AVE STE 430
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614-6212
Practice Address - Country:US
Practice Address - Phone:949-872-2850
Practice Address - Fax:949-872-2855
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA64101207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA64101OtherMEDICAL LICENSE NUMBER
CABH6134326OtherDEA NUMBER
CAH08322Medicare UPIN