Huang, Stephanie Su

Huang, Stephanie Su is an individual health care provider with primary practice located at 34 Mark West Springs Rd , Santa Rosa CA 95403-1766. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Facial Plastic Surgery, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is her primary health care specialty. Huang, Stephanie Su can be contacted via phone (707) 541-3690.

Contact Information

Primary practice address
34 Mark West Springs Rd Santa Rosa CA 95403-1766
Phone: (707) 541-3690
Fax: (707) 573-5433
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X A91911 California
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X A91911 California

Profile Details

NPI number 1699963231
LBN Legal business name Huang, Stephanie Su
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2007
Last updated Jun 8th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699963231 NPPES
California Other P00933203 RAILROAD MEDICARE
California Other 00A919110 RAILROAD MEDICARE
California MEDICAID 1699963231 RAILROAD MEDICARE

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