Individual provider · Type 1 NPI

Putheavy Hun

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

NPI number 1891403002 Active

Practice location

3530 Atlantic Ave Ste 210
Long Beach, CA 90807-4569

Call (562) 424-1886 Map

Fax (562) 424-2296

Mailing address

4591 Orange Ave Unit 304
Long Beach, CA 90807-2370

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 1891403002

Putheavy Hun's National Provider Identifier is 1891403002, issued on Nov 8, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Long Beach, CA. The record was last updated on Nov 8, 2022.