Provider Demographics
NPI:1598867509
Name:HUANG, JAMES JUI-TE (MD)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:JUI-TE
Last Name:HUANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 BRIGADIER
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92603-3459
Mailing Address - Country:US
Mailing Address - Phone:909-825-7084
Mailing Address - Fax:949-551-2829
Practice Address - Street 1:11201 BENTON ST
Practice Address - Street 2:LOMA LINDA VA HOSPITAL
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92357-1000
Practice Address - Country:US
Practice Address - Phone:909-825-7084
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG72709207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine