Jimmy C. Huang, D.o. A Professional Corp. - Medicare Primary Care in Santa Monica, CA

Jimmy C. Huang, D.o. A Professional Corp. is a medicare enrolled primary clinic (Family Medicine) in Santa Monica, California. The current practice location for Jimmy C. Huang, D.o. A Professional Corp. is 2210 Santa Monica Blvd., Suite C, Santa Monica, California. For appointments, you can reach them via phone at (310) 828-1708. The mailing address for Jimmy C. Huang, D.o. A Professional Corp. is 1158 26th Street, Suite 570, Santa Monica, California and phone number is (310) 453-3668.

Jimmy C. Huang, D.o. A Professional Corp. is licensed to practice in California (license number 20A6713). The clinic also participates in the medicare program and its NPI number is 1023205010. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (310) 828-1708.

Contact Information

Jimmy C. Huang, D.o. A Professional Corp.
2210 Santa Monica Blvd.
Suite C
Santa Monica
CA 90404
(310) 828-1708
(310) 828-1705

Primary Care Clinic Profile

Full NameJimmy C. Huang, D.o. A Professional Corp.
SpecialityFamily Medicine
Location2210 Santa Monica Blvd., Santa Monica, California
Authorized Official Name and PositionJimmy C. Huang (CEO)
Authorized Official Contact3232920211
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jimmy C. Huang, D.o. A Professional Corp.
1158 26th Street
Suite 570
Santa Monica
CA 90403

Ph: (310) 453-3668
Jimmy C. Huang, D.o. A Professional Corp.
2210 Santa Monica Blvd.
Suite C
Santa Monica
CA 90404

Ph: (310) 828-1708

NPI Details:

NPI Number1023205010
Provider Enumeration Date10/03/2007
Last Update Date09/28/2017

Medicare PECOS Information:

Medicare PECOS PAC ID9830134170
Medicare Enrollment IDO20081029000328

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Medical Identifiers

Medical identifiers for Jimmy C. Huang, D.o. A Professional Corp. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023205010NPI-NPPES
00AX67131MedicaidCA
OOAX67131MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 20A6713 (California)Primary
261Q00000XClinic/center (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Jimmy C. Huang, D.o. A Professional Corp. acts as a billing entity for following providers:
Provider NameJimmy C Huang
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780649442
PECOS PAC ID: 5991747859
Enrollment ID: I20050601000773

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Provider NameLing Le
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780765420
PECOS PAC ID: 8527089549
Enrollment ID: I20051216000748

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Provider NameRoberto T Carpio
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215337084
PECOS PAC ID: 3274857537
Enrollment ID: I20150115002102

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