Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | A91911 | CA |
N | 207YS0123X | Facial Plastic Surgeon | A91911 | CA |
NPI | 1699963231 |
---|---|
Provider Name | Stephanie Su Huang |
First Address | Los Altos, CA 94022-1408 |
Second Address | Santa Rosa, CA 95403-1766 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/10/2007 |
Last Update Date | 08/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A919110 | BLUE SHIELD OF CALIFORNIA (01) | CA |
1699963231 | (05) | CA |
P00933203 | RAILROAD MEDICARE (01) | CA |