Provider Demographics
NPI:1538466362
Name:HUYNH, JACOB LINH DUY (MD)
Entity Type:Individual
Prefix:DR
First Name:JACOB LINH
Middle Name:DUY
Last Name:HUYNH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:13762 MONROE ST
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-3231
Mailing Address - Country:US
Mailing Address - Phone:714-272-7120
Mailing Address - Fax:714-891-0530
Practice Address - Street 1:7901 WESTMINSTER BLVD
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-4001
Practice Address - Country:US
Practice Address - Phone:714-869-8146
Practice Address - Fax:714-891-0530
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-14
Last Update Date:2015-11-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAC54539207Q00000X, 207QH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine