Provider Demographics
NPI:1740558659
Name:HUANG, FRANCES C (RPH)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:C
Last Name:HUANG
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4750 LINCOLN BLVD APT 1-227
Mailing Address - Street 2:
Mailing Address - City:MARINA DEL REY
Mailing Address - State:CA
Mailing Address - Zip Code:90292-6900
Mailing Address - Country:US
Mailing Address - Phone:714-552-3542
Mailing Address - Fax:310-829-7406
Practice Address - Street 1:1932 WILSHIRE BLVD
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90403-5606
Practice Address - Country:US
Practice Address - Phone:310-829-9264
Practice Address - Fax:310-829-7406
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-06
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH45711183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CARPH45711OtherRPH