Provider Demographics
NPI:1518045384
Name:HU, GENA (MD)
Entity Type:Individual
Prefix:DR
First Name:GENA
Middle Name:
Last Name:HU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BAITAO
Other - Middle Name:
Other - Last Name:LI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:STARLIGHT COMMUNITY SERVICES
Mailing Address - Street 2:1885 LUNDY AVE, SUITE # 223
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95131-1888
Mailing Address - Country:US
Mailing Address - Phone:408-284-9000
Mailing Address - Fax:408-284-9073
Practice Address - Street 1:STARLIGHT COMMUNITY SERVICES
Practice Address - Street 2:1885 LUNDY AVE, SUITE # 223
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95131-1888
Practice Address - Country:US
Practice Address - Phone:408-284-9000
Practice Address - Fax:408-284-9073
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA790062084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A790060Medicaid
H81109Medicare UPIN
CA00A790060Medicaid