MEDICARE: DR. NENGCHUN HUANG M.D.

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
1	2084N0400X	Neurology Physician	A82711	CA

General Provider Information

NPI Number	:	1740212547
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NENGCHUN HUANG M.D.

Provider Business Mailing Address
First Line	:	4701 CHERRYWOOD DR
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95129-2266
Country	:	US
Telephone Number	:	408-376-0316
Fax Number	:	408-841-7567

Provider Business Practice Location Address
First Line	:	800 POLLARD RD STE C30
Second Line	:
City	:	LOS GATOS
State	:	CA
Zip	:	95032-1431
Country	:	US
Telephone Number	:	408-376-0316
Fax Number	:	408-841-7567

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	07/29/2013

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