Pacific Dx Idtf

LBN: Pacific Dx Idtf
Pacific Dx Idtf is an health care organization with primary practice located at 13312 Euclid St , Garden Grove CA 92843. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Pacific Dx Idtf can be contacted via phone (714) 741-0622, or through Henderson, Bryn J via phone (714) 741-0622.

Contact Information

Primary practice address
13312 Euclid St Garden Grove CA 92843
Fax: (714) 741-0623
Website:
Authorized official contact:
Name: Henderson, Bryn J Doctor of Osteopathy (DO)

Health care specialties

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

Profile Details

NPI number 1720179476
LBN Legal business name Pacific Dx Idtf
DBA Doing business as
Authorized official Henderson, Bryn J Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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