Provider Demographics
NPI:1821270240
Name:HUANG, KUN JIANG (MD)
Entity Type:Individual
Prefix:DR
First Name:KUN
Middle Name:JIANG
Last Name:HUANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:KRIS
Other - Middle Name:KJ
Other - Last Name:HUANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:950 STOCKTON ST
Mailing Address - Street 2:SUITE 207
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94108-1633
Mailing Address - Country:US
Mailing Address - Phone:415-399-9646
Mailing Address - Fax:
Practice Address - Street 1:950 STOCKTON ST
Practice Address - Street 2:SUITE 207
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94108-1633
Practice Address - Country:US
Practice Address - Phone:415-399-9646
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-27
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA98491171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor