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NPI Code Detail

MEDICARE: PHI HUANG

MEDICARE: PHI HUANG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse95222736CA

General Provider Information

NPI Number : 1407714900
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHI HUANG
Provider Business Mailing Address
First Line : 1870 ENCLAVE PL
Second Line :
City : CONCORD
State : CA
Zip : 94519-1262
Country : US
Telephone Number : 415-815-8005
Fax Number : 415-815-8005
Provider Business Practice Location Address
First Line : 7200 BANCROFT AVE STE 188
Second Line :
City : OAKLAND
State : CA
Zip : 94605-2452
Country : US
Telephone Number : 510-821-3650
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2026
Last Update Date : 01/13/2026

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Directions to “ PHI HUANG ” Practice Location

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