Active NPI
Angela S Huang
- Pharmacist
- Los Angeles, CA
National Provider Identifier
1235605577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 79310
- Practice address
- 415 S la Brea Ave
Los Angeles, CA 90036-3523 - Phone
- (323) 761-6401
- NPI assigned
- Oct 14, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 79310 | CA | Primary |
Addresses
Primary practice location
415 S la Brea Ave
Los Angeles, CA 90036-3523
Mailing address
54 Genoa St Apt a
Arcadia, CA 91006-3571
Phone (510) 676-3209
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79310 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS, L.L.C. | 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": "1539475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606780800000",
"number": "1235605577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 GENOA ST APT A",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910063571",
"telephone_number": "510-676-3209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 S LA BREA AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900363523",
"telephone_number": "323-761-6401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUANG",
"first_name": "ANGELA",
"middle_name": "S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-14",
"last_updated": "2020-12-01",
"certification_date": "2020-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "79310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.