Provider Demographics
NPI:1861575409
Name:HUANG, MIN (MD)
Entity type:Individual
Prefix:
First Name:MIN
Middle Name:
Last Name:HUANG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:11301 WILSHIRE BLVD
Mailing Address - Street 2:WEST LOS ANGELES VA MEDICAL CENTER, BLDG 500, RM 1254
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90073
Mailing Address - Country:US
Mailing Address - Phone:310-478-3711
Mailing Address - Fax:310-268-4983
Practice Address - Street 1:WEST LOS ANGELES VA HOSPITAL - PATHOLOGY
Practice Address - Street 2:11301 WILSHIRE BLVD
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90073
Practice Address - Country:US
Practice Address - Phone:310-478-3711
Practice Address - Fax:310-268-4983
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA69770207ZC0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathology