Huynh, Bao Thai
Huynh, Bao Thai is an individual health care provider with primary practice located at 67770 Ontina Rd , Cathedral City CA 92234-5576. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Huynh, Bao Thai can be contacted via phone (337) 349-2477.Contact Information
Primary practice address
67770 Ontina Rd
Cathedral City CA 92234-5576
Phone: (337) 349-2477
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A182744 | California |
Profile Details
| NPI number | 1003495755 |
|---|---|
| LBN Legal business name | Huynh, Bao Thai |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 7th, 2021 |
| Last updated | Jul 8th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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