Healthcare Provider Details

I. General information

NPI: 1235094988
Provider Name (Legal Business Name): DANNA HUANG NG PPS
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42875 GATEWOOD ST
FREMONT CA
94538-4131
US

IV. Provider business mailing address

42875 GATEWOOD ST
FREMONT CA
94538-4131
US

V. Phone/Fax

Practice location:
  • Phone: 510-656-6438
  • Fax:
Mailing address:
  • Phone: 510-656-6438
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number240092490
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: