Provider Demographics
NPI:1487474334
Name:SHIAO CHUN DORA HU
Entity type:Organization
Organization Name:SHIAO CHUN DORA HU
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHIAO
Authorized Official - Middle Name:
Authorized Official - Last Name:DORA HU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-292-1760
Mailing Address - Street 1:38950 BLACOW RD STE D3
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94536-7379
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:39180 LIBERTY ST STE 220
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-1522
Practice Address - Country:US
Practice Address - Phone:415-292-1760
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-15
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty