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Individual

HEIDE KUANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
601 DUBOCE AVE STE 250, SAN FRANCISCO, CA 94117-3389
(415) 600-5959
(415) 369-1392
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(510) 204-4635
(510) 204-3060

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A159897
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A159897
STATE MEDICAL LICENSE
CA
Enumeration date
04/11/2017
Last updated
02/11/2022
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