Provider Demographics
NPI:1457987265
Name:HUANG, WENDY CHIA WEN (MD)
Entity type:Individual
Prefix:DR
First Name:WENDY
Middle Name:CHIA WEN
Last Name:HUANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39400 PASEO PADRE PKWY
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-2310
Mailing Address - Country:US
Mailing Address - Phone:510-998-8230
Mailing Address - Fax:
Practice Address - Street 1:39 HAYIANG 2ND ROAD
Practice Address - Street 2:
Practice Address - City:KAOHSIUNG
Practice Address - State:KAOHSIUNG
Practice Address - Zip Code:83076
Practice Address - Country:TW
Practice Address - Phone:091-692-9121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-13
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA63704207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine