Provider Demographics
NPI:1891332631
Name:HUYNH, LINA THI
Entity Type:Individual
Prefix:
First Name:LINA
Middle Name:THI
Last Name:HUYNH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2050 DEL REY PL
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93030-7349
Mailing Address - Country:US
Mailing Address - Phone:805-302-0401
Mailing Address - Fax:
Practice Address - Street 1:2050 DEL REY PL
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-7349
Practice Address - Country:US
Practice Address - Phone:805-302-0401
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-27
Last Update Date:2019-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician