Healthcare Provider Details

I. General information

NPI: 1558020974
Provider Name (Legal Business Name): ISABELLA HUANG RDN/RD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ISABELLA DANG

II. Dates (important events)

Enumeration Date: 12/13/2021
Last Update Date: 08/14/2023
Certification Date: 08/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 OLD SAN FRANCISCO RD
SUNNYVALE CA
94086-6386
US

IV. Provider business mailing address

325 DISTEL CIR
LOS ALTOS CA
94022-1408
US

V. Phone/Fax

Practice location:
  • Phone: 650-934-7600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number86105752
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: