Healthcare Provider Details

I. General information

NPI: 1760633770
Provider Name (Legal Business Name): MICHAEL CEN HUANG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2008
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 POTRERO AVE BLDG 1, ROOM 101
SAN FRANCISCO CA
94110-3518
US

IV. Provider business mailing address

2540 23RD ST RM 5210
SAN FRANCISCO CA
94143-2500
US

V. Phone/Fax

Practice location:
  • Phone: 415-206-8300
  • Fax: 415-206-3948
Mailing address:
  • Phone: 415-476-0391
  • Fax: 415-206-3948

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberA113256
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: