Provider Demographics
NPI:1538153242
Name:HUFF, MICHAEL BORCHARD (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:BORCHARD
Last Name:HUFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:540 N N ST
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93030-4805
Mailing Address - Country:US
Mailing Address - Phone:805-487-0373
Mailing Address - Fax:
Practice Address - Street 1:540 N N ST
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-4805
Practice Address - Country:US
Practice Address - Phone:805-487-0373
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-08
Last Update Date:2007-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA34873207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW15791Medicare ID - Type UnspecifiedGROUP ID
A27614Medicare UPIN
WA34873AMedicare ID - Type UnspecifiedPPIN