MEDICARE: ROSALIE C HUYNH AUD

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	231H00000X	Audiologist	AU1805	CA
2	237700000X	Hearing Instrument Specialist	HA3726	CA

General Provider Information

NPI Number	:	1447292685
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSALIE C HUYNH AUD

Provider Business Mailing Address
First Line	:	1116 E CARLETON AVE
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92867-3868
Country	:	US
Telephone Number	:	714-927-7888
Fax Number	:

Provider Business Practice Location Address
First Line	:	302 W LA VETA AVE STE 201
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92866-2607
Country	:	US
Telephone Number	:	714-927-7888
Fax Number	:

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

Provider Enumeration Date	:	06/12/2006
Last Update Date	:	11/16/2010

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