MEDICARE: DR. HONG B HUYNH M.D.

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	207R00000X	Internal Medicine Physician	A063934	CA

General Provider Information

NPI Number	:	1770514192
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HONG B HUYNH M.D.

Provider Business Mailing Address
First Line	:	8810 RIO SAN DIEGO DR
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-1622
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8810 RIO SAN DIEGO DR
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-1622
Country	:	US
Telephone Number	:	619-400-5236
Fax Number	:	619-400-5015

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

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	07/08/2007

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