Healthcare Provider Details

I. General information

NPI: 1649092958
Provider Name (Legal Business Name): GIA BOI, HUYNH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/28/2024
Last Update Date: 10/28/2024
Certification Date: 10/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 E MCDOWELL RD # 410
PHOENIX AZ
85006-2606
US

IV. Provider business mailing address

619 N MONDEL DR
GILBERT AZ
85233-4117
US

V. Phone/Fax

Practice location:
  • Phone: 480-818-9078
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: