Provider Demographics
NPI:1225186257
Name:HUANG, SCOTT LI-JU (DO)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:LI-JU
Last Name:HUANG
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:888 PARIS ST STE 202
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94112-3858
Mailing Address - Country:US
Mailing Address - Phone:415-677-2488
Mailing Address - Fax:415-217-4199
Practice Address - Street 1:888 PARIS ST STE 202
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94112-3858
Practice Address - Country:US
Practice Address - Phone:415-677-2488
Practice Address - Fax:415-217-4199
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A9056207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine