Healthcare Provider Details

I. General information

NPI: 1447761572
Provider Name (Legal Business Name): SIN-YI HUANG PHARMD, RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/16/2017
Last Update Date: 04/13/2023
Certification Date: 04/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4424 TREAT BLVD
CONCORD CA
94521-2704
US

IV. Provider business mailing address

4424 TREAT BLVD
CONCORD CA
94521-2704
US

V. Phone/Fax

Practice location:
  • Phone: 925-676-4040
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number60107569
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number63511
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: