Provider Demographics
NPI:1366094856
Name:HUANG, GILBERT K (DPM)
Entity type:Individual
Prefix:
First Name:GILBERT
Middle Name:K
Last Name:HUANG
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 OLIVE AVE
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94539-5263
Mailing Address - Country:US
Mailing Address - Phone:510-517-0496
Mailing Address - Fax:
Practice Address - Street 1:101 S SAN MATEO DR STE 212
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94401-3843
Practice Address - Country:US
Practice Address - Phone:650-342-5733
Practice Address - Fax:650-342-0525
Is Sole Proprietor?:No
Enumeration Date:2019-07-15
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL135001064213ES0103X
CAE5829213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery