Healthcare Provider Details

I. General information

NPI: 1821741430
Provider Name (Legal Business Name): STEVEN HUA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2022
Last Update Date: 02/02/2022
Certification Date: 02/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2280 SAN PABLO AVE
OAKLAND CA
94612-1321
US

IV. Provider business mailing address

2280 SAN PABLO AVE
OAKLAND CA
94612-1321
US

V. Phone/Fax

Practice location:
  • Phone: 510-350-3974
  • Fax:
Mailing address:
  • Phone: 510-350-3974
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: