Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | A86434 | CA |
NPI | 1023093838 |
---|---|
Provider Name | Dr. Minh Tue Huynh |
First Address | Los Alamitos, CA 90720-3338 |
Second Address | Los Alamitos, CA 90720-3338 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2005 |
Last Update Date | 03/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I05523 | (02) | CA |