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NPI Code Detail

MEDICARE: ANDREA HUYN O.D.

MEDICARE: ANDREA HUYN O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometristOPT13569TPACA

General Provider Information

NPI Number : 1649410317
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA HUYN O.D.
Provider Business Mailing Address
First Line : 88 PEONY
Second Line :
City : IRVINE
State : CA
Zip : 92618-1508
Country : US
Telephone Number : 310-803-2322
Fax Number :
Provider Business Practice Location Address
First Line : 30602 SANTA MARGARITA PKWY
Second Line :
City : RANCHO SANTA MARGARITA
State : CA
Zip : 92688-2814
Country : US
Telephone Number : 949-459-1670
Fax Number : 949-459-1830
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2009
Last Update Date : 03/10/2020

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