Phuc Huynh, DO, CPC, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A7890 Issued in CA

Legal business name

PHUC HUYNH, DO, CPC, INC.

Practice address

2619 S Waterman Ave
B
San Bernardino, CA 92408-3737

Phone

(909) 659-5657

NPI assigned

Jun 27, 2008

Organization subpart

No

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

Authorized official

Name

Phuc Huynh, DO

Title

President

Phone

(909) 659-5657

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1922260389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2619 S WATERMAN AVE",
            "address_2": "B",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2619 S WATERMAN AVE",
            "address_2": "B",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083737",
            "telephone_number": "909-659-5657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHUC HUYNH, DO, CPC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-27",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "HUYNH",
        "authorized_official_first_name": "PHUC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-659-5657",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A7890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX78900",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "020A78904",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cecelia Herrera Philhower
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• Ashley Phillips
• Lessie Thomas Philpot Jr.
• Brenna Phororo
• Physicians Health Network Medical Corporation
• Physicians Healthcare, PSC (Physicians Home Health)
• Vicky Maria Pichardo
• Pilar Pichon, M.D.
• Dominique Pierce

• Family Medicine Physician in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.