Provider Demographics
NPI:1063067239
Name:HUYNH, DELINNA DIEU (RPH)
Entity type:Individual
Prefix:DR
First Name:DELINNA
Middle Name:DIEU
Last Name:HUYNH
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:DIEU
Other - Middle Name:THI
Other - Last Name:HUYNH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15562 CRANBROOK ST
Mailing Address - Street 2:
Mailing Address - City:SAN LEANDRO
Mailing Address - State:CA
Mailing Address - Zip Code:94579-2217
Mailing Address - Country:US
Mailing Address - Phone:510-936-4279
Mailing Address - Fax:
Practice Address - Street 1:43950 PACIFIC COMMONS BLVD
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-3803
Practice Address - Country:US
Practice Address - Phone:510-771-1617
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-05
Last Update Date:2019-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA80511183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist