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NPI Code Detail

MEDICARE: DR. TRI HUYNH LAC MD

MEDICARE:  DR. TRI HUYNH LAC  MD
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
1207R00000XInternal Medicine PhysicianG85786CA

General Provider Information

NPI Number : 1194796664
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TRI HUYNH LAC MD
Provider Business Mailing Address
First Line : 3093 E FOX RUN WAY
Second Line :
City : SAN DIEGO
State : CA
Zip : 92111-7743
Country : US
Telephone Number : 858-831-8797
Fax Number :
Provider Business Practice Location Address
First Line : 7565 MISSION VALLEY RD STE 200
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-4431
Country : US
Telephone Number : 619-245-2830
Fax Number : 619-245-2893
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2006
Last Update Date : 06/09/2015

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Directions to “ DR. TRI HUYNH LAC MD” Practice Location

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