Healthcare Provider Details

I. General information

NPI: 1447850367
Provider Name (Legal Business Name): JENNY MARIE HUYNH NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNY MARIE TORRES NP

II. Dates (important events)

Enumeration Date: 10/29/2020
Last Update Date: 10/04/2023
Certification Date: 10/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 MAGELLAN DR
TEHACHAPI CA
93561-1380
US

IV. Provider business mailing address

1100 MAGELLAN DR
TEHACHAPI CA
93561-1380
US

V. Phone/Fax

Practice location:
  • Phone: 661-823-3000
  • Fax:
Mailing address:
  • Phone: 661-823-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95021189
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: