Provider Demographics
NPI:1427130319
Name:HUYNH, VU THANH (DC)
Entity type:Individual
Prefix:
First Name:VU
Middle Name:THANH
Last Name:HUYNH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:93 DEVINE ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95110-2484
Mailing Address - Country:US
Mailing Address - Phone:408-642-1795
Mailing Address - Fax:408-642-1796
Practice Address - Street 1:93 DEVINE ST STE A
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95110-2484
Practice Address - Country:US
Practice Address - Phone:408-642-1795
Practice Address - Fax:408-642-1796
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2009-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC30061111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor