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NPI Code Detail

MEDICARE: KRISTA HUERTA MD

MEDICARE: KRISTA HUERTA MD
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
1207P00000XEmergency Medicine PhysicianA75515CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1477538452
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTA HUERTA MD
Provider Business Mailing Address
First Line : 788 HARRISON ST APT 527
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94107-4211
Country : US
Telephone Number : 415-994-3763
Fax Number :
Provider Business Practice Location Address
First Line : 901 NEVIN AVE
Second Line :
City : RICHMOND
State : CA
Zip : 94801-3143
Country : US
Telephone Number : 510-307-1722
Fax Number : 510-307-1725
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2005
Last Update Date : 12/08/2021

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Directions to “ KRISTA HUERTA MD” Practice Location

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