Healthcare Provider Details

I. General information

NPI: 1104520261
Provider Name (Legal Business Name): ASHLYN HUANG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2023
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

395 HICKEY BLVD
DALY CITY CA
94015-2770
US

IV. Provider business mailing address

101 MC LELLAN DR APT 3066
SOUTH SAN FRANCISCO CA
94080-7528
US

V. Phone/Fax

Practice location:
  • Phone: 650-301-5860
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number207685
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: