Provider Demographics
NPI:1700409273
Name:LUONG, ANHTHI QUYNH (AUD)
Entity Type:Individual
Prefix:
First Name:ANHTHI
Middle Name:QUYNH
Last Name:LUONG
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4519 PACIFIC RIM WAY
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95121-2966
Mailing Address - Country:US
Mailing Address - Phone:408-309-2445
Mailing Address - Fax:
Practice Address - Street 1:3553 WHIPPLE RD FL 2
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:CA
Practice Address - Zip Code:94587-1507
Practice Address - Country:US
Practice Address - Phone:510-675-2001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-19
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist