National Provider Identifier Database

GRADY B HUCKABY JR, MD – NPI #1093840688
Adolescent Medicine

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.


Contact Information

GRADY B HUCKABY JR, MD
4050 BARRANCA PKWY
SUITE 270
IRVINE, CA92604-7706
Phone: 949-559-5601
Fax: 949-559-7115
Website:
Specialty Taxonomy Code
* Adolescent Medicine 2080A0000X

* Indicates primary specialty

NPI Profile & details for GRADY B HUCKABY JR

NPI Number 1093840688
Credentials MD
Entity Individual
Enumeration date 02/22/2007
Last updated 11/30/2010 - About 16 years ago
Sole proprietor1 No
Identifiers
  • CA License #: A31495
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for GRADY B HUCKABY JR, MD

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