Xushao Huang OD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

13213 Issued in CA

Legal business name

XUSHAO HUANG OD INC

Practice address

46883 Monroe St
Suite 200
Indio, CA 92201-5547

Phone

(760) 600-7200

Fax

(760) 841-0543

NPI assigned

Oct 17, 2012

Last updated

Jan 2, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Xushao Huang, O.D.

Title

President and Ceo

Phone

(626) 758-0965

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388620800000",
    "number": "1689927444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74539 MOSS ROSE DR",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922603132",
            "telephone_number": "626-758-0965",
            "fax_number": "760-841-5403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46883 MONROE ST",
            "address_2": "SUITE 200",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015547",
            "telephone_number": "760-600-7200",
            "fax_number": "760-841-0543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XUSHAO HUANG OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-17",
        "last_updated": "2014-01-02",
        "status": "A",
        "authorized_official_last_name": "HUANG",
        "authorized_official_first_name": "XUSHAO",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "626-758-0965",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Winn, MD
• Lisa A Wolfe
• Michelle Wong
• Nancy Woo, PHARMD
• Kenneth Glen Wys, MD
• Carol Yagher, PAC
• Barbara Yashita
• Matthew John Yavorsky, PT, DPT
• Yazji Pediatric Care, a Medical Corporation
• Robert Yeager III

• Optometrist in Indio, CA
• Providers in Indio, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; 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.