Provider Demographics
NPI:1871665166
Name:HUYNH, DANIEL KIM (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:KIM
Last Name:HUYNH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9295 E STOCKTON BLVD
Mailing Address - Street 2:SUITE 10
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95624-4096
Mailing Address - Country:US
Mailing Address - Phone:916-685-6380
Mailing Address - Fax:916-685-4744
Practice Address - Street 1:9295 E STOCKTON BLVD
Practice Address - Street 2:SUITE 10
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95624-4096
Practice Address - Country:US
Practice Address - Phone:916-685-6380
Practice Address - Fax:916-685-4744
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC27675111NI0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0900XChiropractic ProvidersChiropractorInternist