Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | E4305 | CA |
NPI | 1063475614 |
---|---|
Provider Name | Dr. Linh Chi Huynh |
First Address | Turlock, CA 95380-4542 |
Second Address | Turlock, CA 95380-4542 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2006 |
Last Update Date | 02/11/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000E43050 | (05) | CA |
000E43051 | (05) | CA |
000E43052 | (05) | CA |
U87308 | (02) | CA |