Huckaby, Grady B

Huckaby, Grady B is an individual health care provider with primary practice located at 4050 Barranca Pkwy Suite 270, Irvine CA 92604-7706. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Huckaby, Grady B can be contacted via phone (949) 559-5601.

Contact Information

Primary practice address
4050 Barranca Pkwy Suite 270 Irvine CA 92604-7706
Phone: (949) 559-5601
Fax: (949) 559-7115
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X A31495 California

Profile Details

NPI number 1093840688
LBN Legal business name Huckaby, Grady B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2007
Last updated Nov 30th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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