Provider Demographics
NPI:1154006740
Name:HOU, SHUANG
Entity type:Individual
Prefix:
First Name:SHUANG
Middle Name:
Last Name:HOU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9909 HUENNEKENS ST STE 105
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92121-2928
Mailing Address - Country:US
Mailing Address - Phone:858-999-1582
Mailing Address - Fax:000-000-0000
Practice Address - Street 1:9909 HUENNEKENS ST STE 205
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121-2929
Practice Address - Country:US
Practice Address - Phone:858-900-7835
Practice Address - Fax:000-000-0000
Is Sole Proprietor?:No
Enumeration Date:2023-06-20
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZB0500XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherBiochemist