Healthcare Provider Details

I. General information

NPI: 1841109816
Provider Name (Legal Business Name): DAVID HUYNH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3051 COUNTRYSIDE DR
TURLOCK CA
95380-8400
US

IV. Provider business mailing address

1548 CINDY WAY
TRACY CA
95377-5622
US

V. Phone/Fax

Practice location:
  • Phone: 706-814-3096
  • Fax:
Mailing address:
  • Phone: 706-814-3096
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number93038
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: