Healthcare Provider Details

I. General information

NPI: 1972724391
Provider Name (Legal Business Name): JIN J HUANG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 02/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

513 PARNASSUS AVE UCSF DEPARTMENT OF ANESTHESIOLOGY
SAN FRANCISCO CA
94143-2205
US

IV. Provider business mailing address

513 PARNASSUS AVE
SAN FRANCISCO CA
94143-2205
US

V. Phone/Fax

Practice location:
  • Phone: 415-443-5505
  • Fax:
Mailing address:
  • Phone: 646-662-9210
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number105561
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: