Active NPI
Phuong Huynh
- Chiropractor
- Gardena, CA
National Provider Identifier
1164905204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC29066
- Practice address
- 15731 S Western Ave
Gardena, CA 90247-6179 - Phone
- (310) 808-0199
- NPI assigned
- Sep 14, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC29066 | CA | Primary |
Addresses
Primary practice location
15731 S Western Ave
Gardena, CA 90247-6179
Mailing address
16507 Purche Ave
Torrance, CA 90504-1837
Phone (310) 714-6546
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC29066 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536883200000",
"number": "1164905204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16507 PURCHE AVE",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905041837",
"telephone_number": "310-714-6546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15731 S WESTERN AVE",
"city": "GARDENA",
"state": "CA",
"postal_code": "902476179",
"telephone_number": "310-808-0199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUYNH",
"first_name": "PHUONG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-14",
"last_updated": "2018-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC29066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.