Provider Demographics
NPI:1366861031
Name:HUYNH, KYLE (MD)
Entity Type:Individual
Prefix:DR
First Name:KYLE
Middle Name:
Last Name:HUYNH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:850 HEALTH SCIENCES RD RM 3010
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92617-3058
Mailing Address - Country:US
Mailing Address - Phone:949-824-0158
Mailing Address - Fax:949-824-8580
Practice Address - Street 1:3801 LAS POSAS RD STE 112
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-1477
Practice Address - Country:US
Practice Address - Phone:805-388-1211
Practice Address - Fax:805-388-0900
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-10
Last Update Date:2020-04-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA155168207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology