Basic Information
| Provider Information | |||||||||
| NPI: | 1629573894 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HUYNH | ||||||||
| FirstName: | MELISSA | ||||||||
| MiddleName: | V | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 185 BERRY ST LBBY 2 | ||||||||
| Address2: | |||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941075705 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4155146420 | ||||||||
| FaxNumber: | 4155142998 | ||||||||
| Practice Location | |||||||||
| Address1: | 185 BERRY ST LBBY 2 | ||||||||
| Address2: | |||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941075705 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4155146420 | ||||||||
| FaxNumber: | 4155142998 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/28/2018 | ||||||||
| LastUpdateDate: | 01/14/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/14/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | A164993 | CA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.