Provider Demographics
NPI:1558323741
Name:WANG, HUEYJANE (RPH)
Entity Type:Individual
Prefix:
First Name:HUEYJANE
Middle Name:
Last Name:WANG
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:861 GLADIOLA DR
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94086-8139
Mailing Address - Country:US
Mailing Address - Phone:650-961-4851
Mailing Address - Fax:650-961-5273
Practice Address - Street 1:570 N SHORELINE BLVD
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94043-3103
Practice Address - Country:US
Practice Address - Phone:650-961-4851
Practice Address - Fax:650-961-5273
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2010-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA40160183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA40160OtherCA PHARMACY BOARD