Phuc Huynh, Do, Cpc, Inc. | |
2619 S Waterman Ave B San Bernardino CA 92408-3737 | |
(909) 659-5657 | |
Not Available |
Full Name | Phuc Huynh, Do, Cpc, Inc. |
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Speciality | Family Medicine |
Location | 2619 S Waterman Ave, San Bernardino, California |
Authorized Official Name and Position | Phuc Huynh (PRESIDENT) |
Authorized Official Contact | 9096595657 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Phuc Huynh, Do, Cpc, Inc. 2619 S Waterman Ave B San Bernardino CA 92408-3737 Ph: () - | Phuc Huynh, Do, Cpc, Inc. 2619 S Waterman Ave B San Bernardino CA 92408-3737 Ph: (909) 659-5657 |
NPI Number | 1922260389 |
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Provider Enumeration Date | 06/27/2008 |
Last Update Date | 06/27/2008 |
Medicare PECOS PAC ID | 1052467412 |
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Medicare Enrollment ID | O20091007000386 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922260389 | NPI | - | NPPES |
00AX78900 | Medicaid | CA | |
020A78904 | Other | CA | MEDICARE ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 20A7890 (California) | Primary |
Provider Name | Phuc Tuan Huynh |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1922005602 PECOS PAC ID: 9830160936 Enrollment ID: I20040803000737 |
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