Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 4301087048 | MI |
N | 207RC0000X | Internist - Cardiovascular Disease | A85410 | CA |
NPI | 1003938192 |
---|---|
Provider Name | Hieu Huynh |
First Address | Sacramento, CA 95827-2539 |
Second Address | Sacramento, CA 95816-5616 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2007 |
Last Update Date | 22/05/2015 |