Healthcare Provider Details

I. General information

NPI: 1518427855
Provider Name (Legal Business Name): KIET GIA HUA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: ROBERT GIA HUA

II. Dates (important events)

Enumeration Date: 03/22/2019
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 UNIVERSITY AVE
SACRAMENTO CA
95825-6504
US

IV. Provider business mailing address

500 UNIVERSITY AVE
SACRAMENTO CA
95825-6504
US

V. Phone/Fax

Practice location:
  • Phone: 916-734-3588
  • Fax: 916-703-7980
Mailing address:
  • Phone: 916-734-3588
  • Fax: 916-703-7980

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberA184817
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: