Phuc Tuan Huynh (NPI# 1922005602, PAC ID# 9830160936) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1922005602 |
| PAC ID by PECOS | 9830160936 |
| Professional Enrollment ID | I20040803000737 |
| Full Name | Phuc Tuan Huynh |
| Organization Legal Name | PHUC HUYNH, DO, CPC, INC. |
| Address |
2619 S Waterman Ave B San Bernardino CA 92408-3737 |
| Phone Number | 9096595657 |
| Gender | M |
| Credential | DO |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | FAMILY PRACTICE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 1052467412 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050129 | ST BERNARDINE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2619 S Waterman Ave B, San Bernardino, CA 92408-3737 | 9096595657 | PHUC HUYNH, DO, CPC, INC. |
| Organization Legal Name | PHUC HUYNH, DO, CPC, INC. |
| Physicians | 1 |
| Street Address |
2619 S WATERMAN AVE B |
| City | SAN BERNARDINO |
| State | CA |
| Zip | 92408-3737 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Samano | Family Medicine | Sac Health System | 1454 E 2nd St, San Bernardino, CA 92408-0118 |
| Brenda J Boyle | Nurse Practitioner | Sac Health System | 1454 E 2nd St, San Bernardino, CA 92408-0118 |
| Roger D Woodruff | Family Medicine | Sac Health System | 1454 E 2nd St, San Bernardino, CA 92408-0118 |
| Alma M Palisoc | Preventative Medicine | Sac Health System | 1454 E 2nd St, San Bernardino, CA 92408-0118 |
| Maria Lohr | Family Medicine | Sac Health System | 1454 E 2nd St, San Bernardino, CA 92408-0118 |
| Catherine Jl Kelly | Psychologist, Clinical | Sac Health System | 1454 E 2nd St, San Bernardino, CA 92408-0118 |
| Ann D Curtis | Clinical Social Worker | Sac Health System | 1454 E 2nd St, San Bernardino, CA 92408-0118 |
| Jennifer Li | Hospitalist | Sac Health System | 1454 E 2nd St, San Bernardino, CA 92408-0118 |
| Janel L Calinisan | Psychologist, Clinical | Sac Health System | 1454 E 2nd St, San Bernardino, CA 92408-0118 |
| Kevin C Shannon | Family Medicine | Sac Health System | 1454 E 2nd St, San Bernardino, CA 92408-0118 |
| Find all physicians in zip 92408 | |||
| City | SAN BERNARDINO |
| Zip Code | 92408 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | SAN BERNARDINO + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Phuc Tuan Huynh.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.