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General NPI Number Information
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NPI Number | 1841225885
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Entity Type | Individual
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Provider Name | CHARLES CUONG QUOC HUYNH D.O.
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Gender | Male
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 5427 WHITTIER BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90022-4101
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Country | US
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Telephone | 323-869-5448
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Fax | 323-869-5427
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Provider Business Mailing Address
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Address Line | 5427 WHITTIER BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90022-4101
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Country | US
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Telephone | 323-869-5448
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Fax | 323-869-5427
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 20A7149
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20A7419
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License Number State | CA
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