Healthcare Provider Details

I. General information

NPI: 1821270240
Provider Name (Legal Business Name): KUN JIANG HUANG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KRIS K.J. HUANG M.D.

II. Dates (important events)

Enumeration Date: 11/27/2007
Last Update Date: 11/28/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 STOCKTON ST SUITE 207
SAN FRANCISCO CA
94108-1633
US

IV. Provider business mailing address

950 STOCKTON ST SUITE 207
SAN FRANCISCO CA
94108-1633
US

V. Phone/Fax

Practice location:
  • Phone: 415-399-9646
  • Fax:
Mailing address:
  • Phone: 415-399-9646
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License NumberA98491
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: