PACIFIC DIAGNOSTICS NPI 1306881297

NPI Information

  • NPI: 1306881297
  • Provider Name: PACIFIC DIAGNOSTICS
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 13312 EUCLID ST
    GARDEN GROVE, CA
    ZIP 92843
  • Phone: (714) 741-0622

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NPI Details

PACIFIC DIAGNOSTICS is a family medicine in Garden Grove, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PACIFIC DIAGNOSTICS NPI is 1306881297. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

13312 EUCLID ST
GARDEN GROVE, CA
ZIP 92843-514
Phone: (714) 741-0622
Fax: (714) 741-0623

The provider's authorized official is Bryn Jarald Henderson .
The authorized official title is President/owner and has the following contact phone number (714) 741-0622.

The enumeration date for this NPI number is 6/17/2006 and was last updated on 8/22/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine20A4401CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100AX44011MEDICAIDCALIFORNIA
200AX44010MEDICAIDCALIFORNIA

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: 3/30/2025

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