Individual provider · Type 1 NPI

Kenny Phuc Do

Student in an Organized Health Care Education/Training Program · Huntington Beach, CA

NPI number 1801743869 Active

Practice location

4014 Mistral Dr
Huntington Beach, CA 92649-2140

Call (714) 483-4085 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1801743869

Kenny Phuc Do's National Provider Identifier is 1801743869, issued on Mar 10, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Huntington Beach, CA. The record was last updated on Mar 10, 2026.