Basic Information
| Provider Information | |||||||||
| NPI: | 1497926562 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HUANG | ||||||||
| FirstName: | FLORENCE | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 275 BATTERY ST STE 650 | ||||||||
| Address2: | |||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941113332 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 275 BATTERY ST STE 650 | ||||||||
| Address2: | |||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941113332 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8009976196 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/17/2008 | ||||||||
| LastUpdateDate: | 08/04/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/04/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 18333 | NV | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | MD60904204 | WA | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 57427 | AZ | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 11003075-1205 | UT | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | C160685 | CA | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | MD-46031 | IA | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | CDR.0000212 | CO | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | MD22650 | ME | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 64629 | MN | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | MC-0121 | ID | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 11382 | SD | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 036119065 | IL | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 036119065 | 05 | IL | MEDICAID |