Healthcare Provider Details

I. General information

NPI: 1518267319
Provider Name (Legal Business Name): LAMMAI HUYNH PHARM.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2010
Last Update Date: 09/13/2023
Certification Date: 09/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1802 DALTREY WAY
SAN JOSE CA
95132-1525
US

IV. Provider business mailing address

1802 DALTREY WAY
SAN JOSE CA
95132-1525
US

V. Phone/Fax

Practice location:
  • Phone: 408-506-4641
  • Fax:
Mailing address:
  • Phone: 408-506-4641
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number77407
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: