Provider Demographics
NPI:1548210883
Name:HUANG, MICHAEL A (OD,MS)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:A
Last Name:HUANG
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Gender:M
Credentials:OD,MS
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Mailing Address - Street 1:8810 RIO SAN DIEGO DR
Mailing Address - Street 2:112GZ
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-1622
Mailing Address - Country:US
Mailing Address - Phone:619-400-5260
Mailing Address - Fax:619-400-5263
Practice Address - Street 1:8810 RIO SAN DIEGO DR
Practice Address - Street 2:112GZ
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-1622
Practice Address - Country:US
Practice Address - Phone:619-400-5260
Practice Address - Fax:619-400-5263
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-10
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CA11658T152WL0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WL0500XEye and Vision Services ProvidersOptometristLow Vision Rehabilitation