Healthcare Provider Details

I. General information

NPI: 1740700095
Provider Name (Legal Business Name): YA-WEN HUANG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/27/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 HARBOR BLVD
BELMONT CA
94002-4018
US

IV. Provider business mailing address

300 HARBOR BLVD
BELMONT CA
94002-4018
US

V. Phone/Fax

Practice location:
  • Phone: 650-817-9070
  • Fax: 650-246-3838
Mailing address:
  • Phone: 650-817-9070
  • Fax: 650-246-3838

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: