Healthcare Provider Details

I. General information

NPI: 1619171337
Provider Name (Legal Business Name): MICHAEL A HUFF PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2007
Last Update Date: 11/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

564 6TH ST
SAN FRANCISCO CA
94103-4708
US

IV. Provider business mailing address

564 6TH ST
SAN FRANCISCO CA
94103-4708
US

V. Phone/Fax

Practice location:
  • Phone: 415-489-7314
  • Fax: 510-465-4873
Mailing address:
  • Phone: 454-489-7315
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: