Provider Demographics
NPI:1518235605
Name:HUYNH, PAUL HIEN (PHARM D)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:HIEN
Last Name:HUYNH
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 E IMPERIAL HWY STE 150
Mailing Address - Street 2:
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92821-6015
Mailing Address - Country:US
Mailing Address - Phone:714-671-3161
Mailing Address - Fax:714-671-9580
Practice Address - Street 1:1800 E IMPERIAL HWY STE 150
Practice Address - Street 2:
Practice Address - City:BREA
Practice Address - State:CA
Practice Address - Zip Code:92821-6015
Practice Address - Country:US
Practice Address - Phone:714-671-3161
Practice Address - Fax:714-671-9580
Is Sole Proprietor?:No
Enumeration Date:2011-12-05
Last Update Date:2011-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA49584183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist