Provider Demographics
NPI:1659842276
Name:HUANG, XIAOCHANG
Entity Type:Individual
Prefix:
First Name:XIAOCHANG
Middle Name:
Last Name:HUANG
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 1:1122 40TH ST APT 303
Mailing Address - Street 2:
Mailing Address - City:EMERYVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94608-3797
Mailing Address - Country:US
Mailing Address - Phone:650-283-5244
Mailing Address - Fax:
Practice Address - Street 1:1936 UNIVERSITY AVE STE 191
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94704-1000
Practice Address - Country:US
Practice Address - Phone:508-659-2299
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-07
Last Update Date:2018-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program