MEDICARE: MS. KAI YI 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
1	163W00000X	Registered Nurse	95058951	CA

General Provider Information

NPI Number	:	1952846834
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KAI YI HUANG

Provider Business Mailing Address
First Line	:	2460 22ND ST
Second Line	:	BUILDING 90, 4TH FLOOR
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94110-2815
Country	:	US
Telephone Number	:	415-206-3474
Fax Number	:	415-206-4565

Provider Business Practice Location Address
First Line	:	2460 22ND ST
Second Line	:	BUILDING 90, 4TH FLOOR
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94110-2815
Country	:	US
Telephone Number	:	415-206-3474
Fax Number	:	415-206-4565

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

Provider Enumeration Date	:	12/30/2016
Last Update Date	:	12/30/2016

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