Provider Demographics
NPI:1023093838
Name:HUYNH, MINH TUE (MD)
Entity type:Individual
Prefix:DR
First Name:MINH
Middle Name:TUE
Last Name:HUYNH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3801 KATELLA AVE
Mailing Address - Street 2:SUITE 207
Mailing Address - City:LOS ALAMITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90720-3338
Mailing Address - Country:US
Mailing Address - Phone:562-598-9745
Mailing Address - Fax:562-598-0355
Practice Address - Street 1:3801 KATELLA AVE
Practice Address - Street 2:SUITE 207
Practice Address - City:LOS ALAMITOS
Practice Address - State:CA
Practice Address - Zip Code:90720-3338
Practice Address - Country:US
Practice Address - Phone:562-598-9745
Practice Address - Fax:562-598-0355
Is Sole Proprietor?:No
Enumeration Date:2005-12-14
Last Update Date:2012-10-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA86434207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAI05523Medicare UPIN