Individual
DR. BO TAN HUYNH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2630 SAN GABRIEL BLVD STE 105, ROSEMEAD, CA 91770-5204
(626) 288-2007
(626) 288-2116
Mailing address
2630 SAN GABRIEL BLVD STE 105, ROSEMEAD, CA 91770-5204
(626) 288-2007
(626) 288-2116
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A87250
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A872500
—
CA
Enumeration date
07/25/2006
Last updated
09/29/2009
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