Healthcare Provider Details

I. General information

NPI: 1427912997
Provider Name (Legal Business Name): COLLEEN HUYNH PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 N GARFIELD AVE
MONTEREY PARK CA
91754-1202
US

IV. Provider business mailing address

1668 S GARFIELD AVE STE 204
ALHAMBRA CA
91801-5474
US

V. Phone/Fax

Practice location:
  • Phone: 626-573-2222
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA67822
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: