Provider Demographics
NPI:1730287129
Name:HUR, IN HAING (MD)
Entity Type:Individual
Prefix:MR
First Name:IN
Middle Name:HAING
Last Name:HUR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:18781 RAGAN CIR
Mailing Address - Street 2:SUITE 607
Mailing Address - City:VILLA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:92861-3134
Mailing Address - Country:US
Mailing Address - Phone:714-974-4680
Mailing Address - Fax:714-956-1210
Practice Address - Street 1:18781 RAGAN CIR
Practice Address - Street 2:SUITE 607
Practice Address - City:VILLA PARK
Practice Address - State:CA
Practice Address - Zip Code:92861-3134
Practice Address - Country:US
Practice Address - Phone:714-974-4680
Practice Address - Fax:714-956-1210
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2017-02-01
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Provider Licenses
StateLicense IDTaxonomies
CAA36111207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A361110Medicaid
CA00A361110Medicaid