Provider Demographics
NPI:1437248937
Name:HUIBONHOA, AMY MARIA (MD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:MARIA
Last Name:HUIBONHOA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2999 REGENT ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94705-2146
Mailing Address - Country:US
Mailing Address - Phone:510-204-0965
Mailing Address - Fax:510-549-0334
Practice Address - Street 1:2999 REGENT ST
Practice Address - Street 2:SUITE 201
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94705-2146
Practice Address - Country:US
Practice Address - Phone:510-204-0965
Practice Address - Fax:510-549-0334
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2022-02-11
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Provider Licenses
StateLicense IDTaxonomies
CAG77311207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G773110Medicare ID - Type Unspecified
CAG33233Medicare UPIN