Healthcare Provider Details

I. General information

NPI: 1659083210
Provider Name (Legal Business Name): HELEN HUYNH NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/14/2022
Last Update Date: 12/14/2022
Certification Date: 12/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

988 S FAIR OAKS AVE
PASADENA CA
91105-2626
US

IV. Provider business mailing address

988 S FAIR OAKS AVE
PASADENA CA
91105-2626
US

V. Phone/Fax

Practice location:
  • Phone: 626-799-4191
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95021726
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: