Individual provider Active NPI

Angela W Huang, ANGELA HUANG

  • Dentist
  • Hacienda Heights, CA
National Provider Identifier
1033375845
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
57313 Issued in CA
Practice address
2219 S Hacienda Blvd
Ste 208
Hacienda Heights, CA 91745-4639
Phone
(626) 369-5223
Fax
(626) 961-7564
NPI assigned
Jul 31, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 57313 CA Primary

Addresses

Primary practice location

2219 S Hacienda Blvd
Ste 208
Hacienda Heights, CA 91745-4639

Mailing address

2219 S Hacienda Blvd
Ste 208
Hacienda Heights, CA 91745-4639
Phone (626) 369-5223

Other names 1

  • Wen CHI Huang Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160407001816 CA Order and Referring Only - DentistPractitioner - Dentist 7113225160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Steve J. H. Lee Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217462400000",
    "number": "1033375845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2219 S HACIENDA BLVD",
            "address_2": "STE 208",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917454639",
            "telephone_number": "626-369-5223",
            "fax_number": "626-961-7564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2219 S HACIENDA BLVD",
            "address_2": "STE 208",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917454639",
            "telephone_number": "626-369-5223",
            "fax_number": "626-961-7564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "ANGELA",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "ANGELA  HUANG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-31",
        "last_updated": "2008-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "57313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WEN CHI",
            "last_name": "HUANG",
            "credential": "D.M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hacienda Heights, CA

Sources for this page

Verify at the official NPI Registry.