Individual provider · Type 1 NPI
Grady B. Huckaby Jr., MD
Pediatric Adolescent Medicine Physician · Irvine, CA
NPI number
1093840688
Active
Practice location
4050 Barranca Pkwy, Suite 270
Irvine, CA 92604-7706
Fax (949) 559-7115
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Adolescent Medicine Physician Primary | 2080A0000X | A31495 (CA) |
Pediatric Adolescent Medicine Physician: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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About NPI 1093840688
Grady B. Huckaby Jr., MD's National Provider Identifier is 1093840688, issued on Feb 22, 2007. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Irvine, CA. The record was last updated on Nov 30, 2010.