Provider Demographics
NPI:1891964045
Name:AA FOOT & ANKLE CARE
Entity type:Organization
Organization Name:AA FOOT & ANKLE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LINH
Authorized Official - Middle Name:C
Authorized Official - Last Name:HUYNH
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:408-821-5765
Mailing Address - Street 1:875 E CANAL DR STE 10
Mailing Address - Street 2:
Mailing Address - City:TURLOCK
Mailing Address - State:CA
Mailing Address - Zip Code:95380-4542
Mailing Address - Country:US
Mailing Address - Phone:209-667-5255
Mailing Address - Fax:209-667-5257
Practice Address - Street 1:875 E CANAL DR STE 10
Practice Address - Street 2:
Practice Address - City:TURLOCK
Practice Address - State:CA
Practice Address - Zip Code:95380-4542
Practice Address - Country:US
Practice Address - Phone:209-667-5255
Practice Address - Fax:209-667-5257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-21
Last Update Date:2008-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE4305213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA000E43052Medicaid
CA000E43050Medicaid
CA000E43051Medicaid
CA6099840001Medicare NSC
CA000E43055Medicare PIN
CA000E43052Medicare PIN
CAU87308Medicare UPIN
CA000E43051Medicaid