Provider Demographics
NPI:1396790655
Name:HU, HOWARD CHARLES (MD)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:CHARLES
Last Name:HU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:HOWARD
Other - Middle Name:CHARLES
Other - Last Name:HU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:26357 MCBEAN PARKWAY
Mailing Address - Street 2:SUITE #215
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355
Mailing Address - Country:US
Mailing Address - Phone:661-222-1122
Mailing Address - Fax:661-259-8878
Practice Address - Street 1:26357 MCBEAN PARKWAY
Practice Address - Street 2:SUITE #215
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355
Practice Address - Country:US
Practice Address - Phone:661-222-1122
Practice Address - Fax:661-259-8878
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA62305208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAI13919Medicare UPIN