Healthcare Provider Details

I. General information

NPI: 1568880508
Provider Name (Legal Business Name): STEVE HU
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2014
Last Update Date: 08/01/2022
Certification Date: 08/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 UPPER RAGSDALE DR STE 200
MONTEREY CA
93940-7849
US

IV. Provider business mailing address

23 UPPER RAGSDALE DR STE 200
MONTEREY CA
93940-7849
US

V. Phone/Fax

Practice location:
  • Phone: 831-375-3577
  • Fax: 831-375-1478
Mailing address:
  • Phone: 831-375-3577
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberA154980
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: