Provider Demographics
NPI:1558687392
Name:TUAN HUA MD
Entity Type:Organization
Organization Name:TUAN HUA MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TUAN
Authorized Official - Middle Name:Q
Authorized Official - Last Name:HUA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:415-312-4713
Mailing Address - Street 1:21 ORINDA WAY
Mailing Address - Street 2:SUITE C-276
Mailing Address - City:ORINDA
Mailing Address - State:CA
Mailing Address - Zip Code:94563-2530
Mailing Address - Country:US
Mailing Address - Phone:415-312-4713
Mailing Address - Fax:415-962-4218
Practice Address - Street 1:21 ORINDA WAY
Practice Address - Street 2:SUITE C-276
Practice Address - City:ORINDA
Practice Address - State:CA
Practice Address - Zip Code:94563-2530
Practice Address - Country:US
Practice Address - Phone:415-312-4713
Practice Address - Fax:415-962-4218
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-19
Last Update Date:2010-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA93962207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty