Provider Demographics
NPI:1063831048
Name:KUANG, HUI
Entity Type:Individual
Prefix:
First Name:HUI
Middle Name:
Last Name:KUANG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1845 23RD AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94122-4425
Mailing Address - Country:US
Mailing Address - Phone:415-810-8948
Mailing Address - Fax:650-498-7452
Practice Address - Street 1:300 PASTEUR DR RM H2103
Practice Address - Street 2:
Practice Address - City:STANFORD
Practice Address - State:CA
Practice Address - Zip Code:94305-2200
Practice Address - Country:US
Practice Address - Phone:650-723-5468
Practice Address - Fax:650-498-7452
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-07
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95000604363L00000X
CA3640364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist