Provider Demographics
NPI:1730593682
Name:HUNG, HENRY CHIH-YANG (MD)
Entity type:Individual
Prefix:MR
First Name:HENRY
Middle Name:CHIH-YANG
Last Name:HUNG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:MR
Other - First Name:CHIH-YANG
Other - Middle Name:
Other - Last Name:HUNG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1600 N ROSE AVE
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93030-3722
Mailing Address - Country:US
Mailing Address - Phone:424-217-9085
Mailing Address - Fax:
Practice Address - Street 1:210 W SAN BERNARDINO RD, COVINA, CA 91723
Practice Address - Street 2:
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91723
Practice Address - Country:US
Practice Address - Phone:626-331-7331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-18
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA145914207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine