Organization Active NPI

Formosa Medical Group

  • Psychiatry Physician
  • Monterey Park, CA
National Provider Identifier
1306906508
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A41756 Issued in CA
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.