Phuc Tuan Huynh, DO | |
2619 S Waterman Ave Ste B, San Bernardino, CA 92408-3737 | |
(909) 424-0943 | |
(909) 424-0972 |
Full Name | Phuc Tuan Huynh |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 2619 S Waterman Ave Ste B, San Bernardino, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922005602 | NPI | - | NPPES |
00AX78900 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 20A7890 (California) | Primary |
Entity Name | Central City Community Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235283094 PECOS PAC ID: 6608837331 Enrollment ID: O20041025001177 |
Entity Name | Phuc Huynh, Do, Cpc, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922260389 PECOS PAC ID: 1052467412 Enrollment ID: O20091007000386 |
Entity Name | Wound Healing Care Specialists Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306317961 PECOS PAC ID: 5698019602 Enrollment ID: O20181203001136 |
Mailing Address | Practice Location Address |
---|---|
Phuc Tuan Huynh, DO 2619 S Waterman Ave Ste B, San Bernardino, CA 92408-3737 Ph: (909) 424-0943 | Phuc Tuan Huynh, DO 2619 S Waterman Ave Ste B, San Bernardino, CA 92408-3737 Ph: (909) 424-0943 |
Robert William Watrous, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 S G St, San Bernardino, CA 92410 Phone: 909-382-7100 | |
Dr. Jesse R. Devera, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 303 E Vanderbilt Way, San Bernardino, CA 92415 Phone: 909-388-0810 Fax: 909-890-2081 | |
Dr. Donna Ruth Thompson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 North Waterman Ave, San Bernardino, CA 92404 Phone: 909-883-8611 Fax: 909-886-1798 | |
Dr. Kelsey Louaine Cherepuschak, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 250 S G St, San Bernardino, CA 92410 Phone: 909-382-7100 | |
Sachin Kumar Chatta, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 742 W Highland Ave, San Bernardino, CA 92405 Phone: 909-881-7320 Fax: 909-881-7330 | |
Dr. Uzair Siddiqui, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 665 N D St, San Bernardino, CA 92401 Phone: 909-708-8158 | |
Hugo A. Leon, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 S G St, San Bernardino, CA 92410 Phone: 909-382-7100 Fax: 909-382-7101 |