Individual
CHAU QUANG HUYNH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 EAST VALENCIA MESA DRIVE, ST JUDE RADIOLOGY MEDICAL GROUP, FULLERTON, CA 92835
(714) 922-3978
(714) 446-5908
Mailing address
101 EAST VALENCIA MESA DRIVE, ST JUDE RADIOLOGY MEDICAL GROUP, FULLERTON, CA 92835
(714) 922-3978
(714) 446-5908
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A84403
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A84403
STATE LICENSE
CA
01
—
MD15261
STATE LICENSE
HI
Enumeration date
07/11/2008
Last updated
04/13/2010
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