Provider Demographics
NPI:1285746552
Name:ANTHONY HUYNH MEDICAL GROUP,INC
Entity type:Organization
Organization Name:ANTHONY HUYNH MEDICAL GROUP,INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:VU
Authorized Official - Last Name:HUYNH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-337-8500
Mailing Address - Street 1:718 S 4TH ST
Mailing Address - Street 2:
Mailing Address - City:EL CENTRO
Mailing Address - State:CA
Mailing Address - Zip Code:92243-3319
Mailing Address - Country:US
Mailing Address - Phone:760-337-8500
Mailing Address - Fax:760-337-8572
Practice Address - Street 1:718 S 4TH ST
Practice Address - Street 2:
Practice Address - City:EL CENTRO
Practice Address - State:CA
Practice Address - Zip Code:92243-3319
Practice Address - Country:US
Practice Address - Phone:760-337-8500
Practice Address - Fax:760-337-8572
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2012-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty