Active NPI
Eugene Huang, MD, PHD
- Dermatology Physician
- San Diego, CA
National Provider Identifier
1972759447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- A100212
- Practice address
- 9025 Balboa Ave Ste 118
San Diego, CA 92123-1520 - Phone
- (858) 571-6800
- NPI assigned
- Aug 15, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | A100212 | CA | Primary |
Addresses
Primary practice location
9025 Balboa Ave Ste 118
San Diego, CA 92123-1520
Mailing address
9025 Balboa Ave Ste 118
San Diego, CA 92123-1520
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)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100212 | CA | MD | Dentist |
| A100212 | CA | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459987200000",
"number": "1972759447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9025 BALBOA AVE STE 118",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9025 BALBOA AVE STE 118",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231520",
"telephone_number": "858-571-6800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUANG",
"first_name": "EUGENE",
"credential": "MD, PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-15",
"last_updated": "2016-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "A100212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.