Provider Demographics
NPI:1710066642
Name:HUYNH, NHI YEN (MD)
Entity Type:Individual
Prefix:DR
First Name:NHI
Middle Name:YEN
Last Name:HUYNH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:NHI
Other - Middle Name:YEN
Other - Last Name:HUYNH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1661 BURDETTE DR
Mailing Address - Street 2:SUITE N
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95121-1613
Mailing Address - Country:US
Mailing Address - Phone:408-270-4582
Mailing Address - Fax:408-270-6093
Practice Address - Street 1:1661 BURDETTE DR
Practice Address - Street 2:SUITE N
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95121-1613
Practice Address - Country:US
Practice Address - Phone:408-270-4582
Practice Address - Fax:408-270-6093
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2015-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA492962084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACU284OtherMEDICARE
CA00A492960Medicaid
CA7995126OtherPIN
CAF53628Medicare UPIN