Provider Demographics
NPI:1831238799
Name:HUANG, CHIENFANG RIVA (MS, RD)
Entity type:Individual
Prefix:
First Name:CHIENFANG
Middle Name:RIVA
Last Name:HUANG
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:RIVA
Other - Middle Name:
Other - Last Name:HUANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:528 KENDALL AVE
Mailing Address - Street 2:APT 1
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94306-2760
Mailing Address - Country:US
Mailing Address - Phone:425-829-3621
Mailing Address - Fax:
Practice Address - Street 1:528 KENDALL AVE
Practice Address - Street 2:APT 1
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94306-2760
Practice Address - Country:US
Practice Address - Phone:425-829-3621
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA952343133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered