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PACIFIC FAMILY MEDICINE CLINIC INC NPI 1356723605


NPI Information

NPI: 1356723605
Provider Name: PACIFIC FAMILY MEDICINE CLINIC INC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 05D2102544

Address:
1001 BROADWAY
SUITE 302
MILLBRAE, CA
ZIP 94030
Phone: (415) 975-1255
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PACIFIC FAMILY MEDICINE CLINIC INC is a specialist in Millbrae, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PACIFIC FAMILY MEDICINE CLINIC INC NPI is 1356723605. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1001 BROADWAY
SUITE 302
MILLBRAE, CA
ZIP 94030-978
Phone: (415) 975-1255

The provider's authorized official is Thanh Huynh .
The authorized official title is Md and has the following contact phone number (415) 975-1255.

The CLIA number assigned to this NPI record is 05D2102544 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/23/2015 and was last updated on 11/12/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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