Huynh, Phuc Tuan

Huynh, Phuc Tuan is an individual health care provider with primary practice located at 2619 S Waterman Ave Ste B , San Bernardino CA 92408-3737. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Huynh, Phuc Tuan can be contacted via phone (909) 424-0943.

Contact Information

Primary practice address
2619 S Waterman Ave Ste B San Bernardino CA 92408-3737
Phone: (909) 424-0943
Fax: (909) 424-0972
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20A7890 California

Profile Details

NPI number 1922005602
LBN Legal business name Huynh, Phuc Tuan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922005602 NPPES
California MEDICAID 00AX78900

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