Basic Information
| Provider Information | |||||||||
| NPI: | 1508313271 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HUANG | ||||||||
| FirstName: | ADRIAN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MB BCH BAO, FRCSC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 500 PARNASSUS AVE | ||||||||
| Address2: | W320 | ||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941432203 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4154766548 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 500 PARNASSUS AVE | ||||||||
| Address2: | W320 | ||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941432203 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4154766548 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/09/2016 | ||||||||
| LastUpdateDate: | 09/09/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | A144456 | CA | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
ID Information
| ID | Type | State | Issuer | Description | A144456 | 01 | CA | CALIFORNIA MEDICAL LICENSE | OTHER |