Healthcare Provider Details

I. General information

NPI: 1508796046
Provider Name (Legal Business Name): PHILLIP SPENCER HUFF
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 HAIGHT ST
SAN FRANCISCO CA
94102-6127
US

IV. Provider business mailing address

214 HAIGHT ST
SAN FRANCISCO CA
94102-6127
US

V. Phone/Fax

Practice location:
  • Phone: 415-554-1480
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License NumberE170365
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: