MEDICARE: MS. DANAN HUYNH OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	8252	CA

General Provider Information

NPI Number	:	1003491473
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DANAN HUYNH OTR/L

Provider Business Mailing Address
First Line	:	420 N CORDOVA ST
Second Line	:
City	:	ALHAMBRA
State	:	CA
Zip	:	91801-2711
Country	:	US
Telephone Number	:	408-476-9682
Fax Number	:

Provider Business Practice Location Address
First Line	:	26303 WESTERN AVE
Second Line	:
City	:	LOMITA
State	:	CA
Zip	:	90717-3521
Country	:	US
Telephone Number	:	310-784-5440
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2021
Last Update Date	:	03/16/2021

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