Individual
MR. DAT TAN HUYNH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1661 BURDETTE DR, SUITE N, SAN JOSE, CA 95121-1613
(408) 270-4582
Mailing address
1661 BURDETTE DRIVE,, SUITE N, SAN JOSE, CA 95121
(408) 270-4582
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A500710
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A500710
—
CA
Enumeration date
11/02/2006
Last updated
08/20/2007
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