Provider Demographics
NPI:1871577056
Name:HUYNH, PAUL DONG (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:DONG
Last Name:HUYNH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:14872 WHISPERING RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92131-4262
Mailing Address - Country:US
Mailing Address - Phone:858-566-6404
Mailing Address - Fax:
Practice Address - Street 1:10737 CAMINO RUIZ
Practice Address - Street 2:SUITE 100
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92126-2359
Practice Address - Country:US
Practice Address - Phone:858-549-3200
Practice Address - Fax:858-549-3207
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-01
Last Update Date:2010-10-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA330573796207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A791410Medicaid
CAH85301Medicare UPIN
CA00A791410Medicaid