Provider Demographics
NPI:1396048781
Name:NGOC MY THI HUYNH, MD., INC
Entity type:Organization
Organization Name:NGOC MY THI HUYNH, MD., INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NGOC MY
Authorized Official - Middle Name:THI
Authorized Official - Last Name:HUYNH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-379-8809
Mailing Address - Street 1:8900 BOLSA AVE
Mailing Address - Street 2:C
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-5474
Mailing Address - Country:US
Mailing Address - Phone:714-379-8809
Mailing Address - Fax:714-379-8811
Practice Address - Street 1:8900 BOLSA AVE
Practice Address - Street 2:C
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-5474
Practice Address - Country:US
Practice Address - Phone:714-379-8809
Practice Address - Fax:714-379-8811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-07
Last Update Date:2010-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G550800Medicaid