Provider Demographics
NPI:1972664399
Name:HUIE, SONJA JEAN FONG (MD)
Entity Type:Individual
Prefix:DR
First Name:SONJA
Middle Name:JEAN FONG
Last Name:HUIE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 CALIFORNIA ST STE 100
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-4587
Mailing Address - Country:US
Mailing Address - Phone:415-608-0136
Mailing Address - Fax:
Practice Address - Street 1:1700 CALIFORNIA ST STE 100
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-4587
Practice Address - Country:US
Practice Address - Phone:415-440-6700
Practice Address - Fax:415-440-6707
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2018-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG73088208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics