Provider Demographics
NPI:1154403780
Name:HUYNH, LANG Q (MD)
Entity type:Individual
Prefix:
First Name:LANG
Middle Name:Q
Last Name:HUYNH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1611 1ST ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93304-2901
Mailing Address - Country:US
Mailing Address - Phone:661-336-5300
Mailing Address - Fax:661-336-5303
Practice Address - Street 1:1611 1ST ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93304-2901
Practice Address - Country:US
Practice Address - Phone:661-336-5300
Practice Address - Fax:661-336-5303
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53893207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL630000016Medicaid
ALE80104Medicare UPIN
AL630000016Medicaid
ALE80104Medicare Oscar/Certification