Provider Demographics
NPI:1447660477
Name:HU, ENKUAN (CERTIFIED THERAPIST)
Entity type:Individual
Prefix:
First Name:ENKUAN
Middle Name:
Last Name:HU
Suffix:
Gender:M
Credentials:CERTIFIED THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1110 SUNNYVALE SARATOGA RD STE B2
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-2554
Mailing Address - Country:US
Mailing Address - Phone:408-888-1635
Mailing Address - Fax:408-261-1111
Practice Address - Street 1:1110 SUNNYVALE SARATOGA RD STE B2
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-2554
Practice Address - Country:US
Practice Address - Phone:408-888-1635
Practice Address - Fax:408-261-1111
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-29
Last Update Date:2014-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26957174400000X
CAAC6620174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist