Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | C54539 | CA |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | C54539 | CA |
NPI | 1538466362 |
---|---|
Provider Name | Dr. Jacob Linh Duy Huynh |
First Address | Westminster, CA 92683-3231 |
Second Address | Westminster, CA 92683-4001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2011 |
Last Update Date | 17/11/2015 |