Provider Demographics
NPI:1982883120
Name:PETER HUANG MFT
Entity Type:Organization
Organization Name:PETER HUANG MFT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:HUANG
Authorized Official - Suffix:
Authorized Official - Credentials:MS MFT
Authorized Official - Phone:626-375-1446
Mailing Address - Street 1:911 E COLORADO BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91106-1772
Mailing Address - Country:US
Mailing Address - Phone:626-375-1446
Mailing Address - Fax:
Practice Address - Street 1:911 E COLORADO BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91106-1772
Practice Address - Country:US
Practice Address - Phone:626-375-1446
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-24
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC44920251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health