Healthcare Provider Details

I. General information

NPI: 1013886340
Provider Name (Legal Business Name): LINLIN HUANG
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/04/2025
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2407 FOREST AVE
SAN JOSE CA
95128-1522
US

IV. Provider business mailing address

920 ROCKEFELLER DR APT 1A
SUNNYVALE CA
94087-2138
US

V. Phone/Fax

Practice location:
  • Phone: 650-996-1287
  • Fax:
Mailing address:
  • Phone: 650-996-1287
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: