Healthcare Provider Details

I. General information

NPI: 1518057322
Provider Name (Legal Business Name): SUSAN HUAI-HUI HUANG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/13/2006
Last Update Date: 02/11/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3838 CALIFORNIA ST RM 512
SAN FRANCISCO CA
94118-1507
US

IV. Provider business mailing address

3838 CALIFORNIA ST RM 512
SAN FRANCISCO CA
94118-1507
US

V. Phone/Fax

Practice location:
  • Phone: 415-221-7200
  • Fax: 415-221-4319
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberG82228
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: