Provider Demographics
NPI:1598326076
Name:KEUN-HENG HUO, MD, INC.
Entity Type:Organization
Organization Name:KEUN-HENG HUO, MD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KEUN-HENG
Authorized Official - Middle Name:
Authorized Official - Last Name:HUO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-861-4888
Mailing Address - Street 1:17870 NEWHOPE ST # 104-321
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-5439
Mailing Address - Country:US
Mailing Address - Phone:714-861-4888
Mailing Address - Fax:714-861-4777
Practice Address - Street 1:18035 BROOKHURST ST STE 1200
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-6738
Practice Address - Country:US
Practice Address - Phone:949-691-3131
Practice Address - Fax:949-940-8311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-25
Last Update Date:2019-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Single Specialty