Active NPI
Formosa Medical Group
- Psychiatry Physician
- Monterey Park, CA
National Provider Identifier
1306906508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A41756
- Legal business name
- FORMOSA MEDICAL GROUP
- Practice address
- 850 S Atlantic Blvd
#304
Monterey Park, CA 91754-4730 - Phone
- (626) 284-6408
- Fax
- (626) 284-1201
- NPI assigned
- Dec 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jen Kuang Huang, MD
- Title
- President
- Phone
- (626) 284-6408
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A41756 | CA | Primary |
Addresses
Primary practice location
850 S Atlantic Blvd
#304
Monterey Park, CA 91754-4730
Mailing address
850 S Atlantic Blvd
#304
Monterey Park, CA 91754-4730
Phone (626) 284-6408
National Provider Directory
National Provider DirectoryLocations
850 S Atlantic Blvd
Ste 304
Monterey Park, CA 91754
Phone (626) 284-6408
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Monterey Park, CA
- NPI 1962566653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1306906508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 S ATLANTIC BLVD",
"address_2": "#304",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917544730",
"telephone_number": "626-284-6408",
"fax_number": "626-284-1201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 S ATLANTIC BLVD",
"address_2": "#304",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917544730",
"telephone_number": "626-284-6408",
"fax_number": "626-284-1201"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORMOSA MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-11",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HUANG",
"authorized_official_first_name": "JEN",
"authorized_official_middle_name": "KUANG",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "626-284-6408",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A41756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monterey Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.