Most Relevant Information
Provider Data
| NPI Number: | 1003495755 |
| Provider Name: | BAO THAI HUYNH |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/07/2021 |
| Last Updated: | 07/08/2024 |
Provider Practice Location
67770 ONTINA RD
CATHEDRAL CITY
CA
922345576
Practice Location Phone/Fax
| Phone: | 3373492477 |
| Fax: |
Provider Mailing Location
1150 N PALM CANYON DR
PALM SPRINGS
CA
922624402
Provider Mailing Phone/Fax
| Phone: | 7605617344 |
| Fax: | 7603273052 |