Provider Demographics
NPI:1760583819
Name:HUANG, MIN-NING (MD)
Entity Type:Individual
Prefix:
First Name:MIN-NING
Middle Name:
Last Name:HUANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7601 E IMPERIAL HWY, DEPT. OF PM&R
Mailing Address - Street 2:RANCHO LOS AMIGOS NATIONAL REHAB CENTER
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90242
Mailing Address - Country:US
Mailing Address - Phone:562-401-7964
Mailing Address - Fax:562-401-6247
Practice Address - Street 1:7601 IMPERIAL HWY
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90242-3456
Practice Address - Country:US
Practice Address - Phone:562-803-0124
Practice Address - Fax:562-803-5569
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2016-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA66692208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG81083Medicare UPIN
CAWA66692AMedicare PIN
CAHW11998EMedicare PIN
CAEN934ZMedicare PIN