Pacific Dx Idtf in Garden Grove - Family Medicine
Pacific Dx Idtf - NPI 1720179476
Pacific Dx Idtf is a Family Medicine in Garden Grove, California. Pacific Dx Idtf practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Pacific Dx Idtf is 1720179476. The last update date is 2020-08-22.
Pacific Dx Idtf's current location address is 13312 Euclid St, Garden Grove, California. You can contact this provider via phone number 7147410622 and fax number 7147410623. The mailing address for Pacific Dx Idtf is 13312 Euclid St, Garden Grove, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pacific Dx Idtf |
|---|---|
| Address | 13312 Euclid St, Garden Grove, California |
| Phone Number | 7147410622 |
| Fax Number | 7147410623 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | AUTHORIZED |
|---|---|
| Authorized Official Name | Henderson J Bryn |
| Credentials | DO |
| Telephone Number | 7147410622 |
NPI Number Detail
| NPI Number | 1720179476 |
|---|---|
| Provider Enumeration Date | 2006-09-27 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 13312 Euclid St |
|---|---|
| City | Garden Grove |
| State | California (CA) |
| Post Code | 92843 |
| Phone Number | 7147410622 |
| Fax Number | 7147410623 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
|
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
|
Post Comment/ Review Below
What is the unique provider identifier assigned to Pacific Dx Idtf?
The Pacific Dx Idtf has been issued the NPI (National Provider Identifier) 1720179476 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Pacific Dx Idtf located?
The Pacific Dx Idtf is located at 13312 Euclid St, Garden Grove, CA 92843.
What is Pacific Dx Idtf's specialized field of practice, and what is the corresponding taxonomy classification code?
The Pacific Dx Idtf's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1720179476 to Pacific Dx Idtf?
The Centers for Medicare & Medicaid Services assigned the 1720179476 to Pacific Dx Idtf on 2006-09-27.
As of what date was the information pertaining to Pacific Dx Idtf, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Pacific Dx Idtf, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.