Healthcare Provider Details

I. General information

NPI: 1982938528
Provider Name (Legal Business Name): TRAMY NGUYEN HUYNH PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2009
Last Update Date: 09/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1605 EASTLAKE AVE
LOS ANGELES CA
90033-1009
US

IV. Provider business mailing address

11081 PARSLEY PL
GARDEN GROVE CA
92840-3311
US

V. Phone/Fax

Practice location:
  • Phone: 323-226-8859
  • Fax:
Mailing address:
  • Phone: 323-226-8859
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number56264
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: