Organization Active NPI

Galen C. L. Huang, M.D., Inc.

  • Gastroenterology Physician
  • Riverside, CA
National Provider Identifier
1083813158
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
G323540 Issued in CA
Legal business name
GALEN C. L. HUANG, M.D., INC.
Practice address
6958 Brockton Ave # 202
Riverside, CA 92506-3802
Phone
(951) 788-1450
Fax
(951) 788-2385
NPI assigned
Jul 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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

Authorized official

Name
Dr. Galen C.L. Huang, M.D.
Title
Owner
Phone
(951) 788-1450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X G323540 CA Primary

Addresses

Primary practice location

6958 Brockton Ave # 202
Riverside, CA 92506-3802

Mailing address

6958 Brockton Ave # 202
Riverside, CA 92506-3802
Phone (951) 788-1450

Other identifiers 1

IdentifierTypeStateIssuer
00G323540MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1083813158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6958 BROCKTON AVE # 202",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063802",
            "telephone_number": "951-788-1450",
            "fax_number": "951-788-2385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6958 BROCKTON AVE # 202",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063802",
            "telephone_number": "951-788-1450",
            "fax_number": "951-788-2385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALEN C. L. HUANG, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "HUANG",
        "authorized_official_first_name": "GALEN",
        "authorized_official_middle_name": "C.L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-788-1450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G323540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G323540",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.