| Huynh Primary Care Inc | |
|
57 N 13th St San Jose CA 95112-3439 | |
| (408) 998-3075 | |
| (408) 998-1409 |
| Full Name | Huynh Primary Care Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 57 N 13th St, San Jose, California |
| Authorized Official Name and Position | Minh Quan Huynh (PRESIDENT) |
| Authorized Official Contact | 4083987548 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Huynh Primary Care Inc 57 N 13th St San Jose CA 95112-3439 Ph: (408) 998-3075 | Huynh Primary Care Inc 57 N 13th St San Jose CA 95112-3439 Ph: (408) 998-3075 |
| NPI Number | 1710797485 |
|---|---|
| Provider Enumeration Date | 01/13/2025 |
| Last Update Date | 01/13/2025 |
| Certification Date | 01/10/2025 |
| Medicare PECOS PAC ID | 5294256228 |
|---|---|
| Medicare Enrollment ID | O20250306003188 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710797485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Secondary |
| 207R00000X | Internal Medicine | (NU) | Primary |
| Provider Name | Minh Q Huynh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063437309 PECOS PAC ID: 2769675115 Enrollment ID: I20101108000298 |
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