Provider Demographics
NPI:1851117469
Name:HUYNH, HUAN H
Entity type:Individual
Prefix:
First Name:HUAN
Middle Name:H
Last Name:HUYNH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1278 CALLE ORIENTE APT 3
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-3720
Mailing Address - Country:US
Mailing Address - Phone:408-854-0305
Mailing Address - Fax:
Practice Address - Street 1:1278 CALLE ORIENTE APT 3
Practice Address - Street 2:
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-3720
Practice Address - Country:US
Practice Address - Phone:408-854-0305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-27
Last Update Date:2024-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA97000225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist