Anthony Huynh Medical Group,Inc
Organization Active NPI Dermatology Physician · El Centro, CA
NPI 1285746552 · NPPES record last updated Apr 12, 2012
Key facts
- NPI
- 1285746552
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dermatology Physician 207N00000X
- Legal business name
- ANTHONY HUYNH MEDICAL GROUP,INC
- Practice address
- 718 S 4TH St
El Centro, CA 92243-3319 - Phone
- (760) 337-8500
- Fax
- (760) 337-8572
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Anthony Vu Huynh, MD
- Title
- President
- Phone
- (760) 337-8500
Practitioners 6
-
Diana Truc Dang, MD
-
Fred F Shahan, MD
-
Jayme Lynn Storms, N.P.
-
Anthony Vu Huynh, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061219000359 | CA | Part B Supplier - Clinic/Group Practice | 4082613161 |
Receives reassigned benefits from 6 practitioners Practice locations: El Centro, CA |
National Provider Directory
Locations
718 S 4th St
El Centro, CA 92243
Phone (760) 337-8500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician |
207N00000X | Yes |
Addresses
Primary practice location
718 S 4TH St
El Centro, CA 92243-3319
Mailing address
718 S 4TH St
El Centro, CA 92243-3319
Phone (760) 337-8500
Other names
- EL CENTRO DERMATOLOGY
Other providers in El Centro, CA
- Veronica Nicole Angulo
- Anooshirvan Bozorgmehr DO, Inc
- Athar Masood Ansari
- Nasrin Ansari
- Anthony Huynh Medical Group
- Anxiety Relief Services Corp
- Anz Clinics Inc
- Naomi Gyamfuah Appiah-Danquah
- Apria Healthcare LLC
- Aquarius Surgical Consulting Services, Inc
All providers in El Centro, CA · Dermatology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.