Individual
PAUL TH HUYNH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
22555 ALESSANDRO BLVD, SUITE B, MORENO VALLEY, CA 92553-8533
(951) 656-7081
(951) 656-1710
Mailing address
3660 PARK SIERRA DR STE 203, RIVERSIDE, CA 92505-3071
(951) 687-3400
(951) 687-7630
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
20A8449
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX84490
—
CA
Enumeration date
05/25/2006
Last updated
07/29/2021
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