Huynh, Phi Tan
Huynh, Phi Tan is an individual health care provider with primary practice located at 1901 W Kettleman Ln Suite 200, Lodi CA 95242-4337. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Huynh, Phi Tan can be contacted via phone (209) 334-8540.Contact Information
Primary practice address
1901 W Kettleman Ln Suite 200
Lodi CA 95242-4337
Phone: (209) 334-8540
Fax: (209) 368-2885
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A91806 | California |
Profile Details
| NPI number | 1598742413 |
|---|---|
| LBN Legal business name | Huynh, Phi Tan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 30th, 2005 |
| Last updated | Mar 12th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598742413 | NPPES |
| North Carolina | MEDICAID | 5902228 |
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