Healthcare Provider Details

I. General information

NPI: 1912579889
Provider Name (Legal Business Name): LINH THI THUY HUYNH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/12/2021
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 SKYLINE DR
MONTEREY CA
93940-4110
US

IV. Provider business mailing address

1120 FOREST AVE # 138
PACIFIC GROVE CA
93950-5105
US

V. Phone/Fax

Practice location:
  • Phone: 408-270-4267
  • Fax:
Mailing address:
  • Phone: 831-200-9651
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberNP95017703
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: