Tri Huynh Lac, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G85786 Issued in CA

Practice address

7565 Mission Valley Rd Ste 200
San Diego, CA 92108-4431

Phone

(619) 245-2830

Fax

(619) 245-2893

NPI assigned

Jan 31, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433808000000",
    "number": "1194796664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3093 E FOX RUN WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921117743",
            "telephone_number": "858-831-8797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7565 MISSION VALLEY RD STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084431",
            "telephone_number": "619-245-2830",
            "fax_number": "619-245-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAC",
        "first_name": "TRI",
        "middle_name": "HUYNH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2015-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G85786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Labrana, DC
• Jamie Nicole Labuzetta, M.D.
• Labvitas LLC
• Lac Counseling, Licensed Clinical Social Worker Inc
• Lac T Vu
• Kristen Lacar
• Guadalupe Lacarra Arias
• Bernardette Lacarra Ramirez
• Antonio C Lacarra, AU.D
• Megan Marie Laccone

• Internal Medicine Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.