Provider Demographics
NPI:1790792281
Name:HUANG, MORGAN (MD)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:
Last Name:HUANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:829 CAMBRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-1977
Mailing Address - Country:US
Mailing Address - Phone:818-837-2753
Mailing Address - Fax:818-898-9282
Practice Address - Street 1:650 W DUARTE RD
Practice Address - Street 2:STE 100D
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-7677
Practice Address - Country:US
Practice Address - Phone:818-837-2753
Practice Address - Fax:818-898-9282
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2018-11-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG83095207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG06584Medicare UPIN