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PACIFIC DX IDTF
NPI 1720179476
Family Medicine in Garden Grove, CA

Active since September 27, 2006
13312 EUCLID ST, GARDEN GROVE, CA 92843(714) 741-0622(714) 741-0623 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pacific Dx Idtf NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PACIFIC DX IDTF (NPI 1720179476) is a healthcare organization registered as a family medicine in Garden Grove, California and active in the NPI registry since September 2006. The organization lists Bryn J Henderson, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1720179476
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePACIFIC DX IDTF
Location Address13312 EUCLID STGarden Grove, CA 92843
Mailing Address13312 Euclid StGarden Grove, CA 92843 · (714) 741-0622 · Fax (714) 741-0623
Phone(714) 741-0622
Fax(714) 741-0623
Organization SubpartNo
Authorized OfficialBryn J HendersonAuthorized Official · (714) 741-0622
Enumeration DateSeptember 27, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1720179476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
13312 EUCLID ST, Garden Grove, CA 92843
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAN THIEN NGUYEN D.C.
Chiropractor
13312 EUCLID ST
GARDEN GROVE, CA 92843
Orange County (714) 590-2725
PACIFIC DIAGNOSTICS
Family Medicine
13312 EUCLID ST
GARDEN GROVE, CA 92843
Orange County (714) 741-0622

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pacific Dx Idtf's NPI number?

The NPI number for Pacific Dx Idtf is 1720179476. It was assigned to this organization in the NPPES registry on September 27, 2006.

Where is Pacific Dx Idtf located?

Pacific Dx Idtf is located at 13312 Euclid St, Garden Grove, CA 92843. The listed phone number is (714) 741-0622.

What is Pacific Dx Idtf's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Pacific Dx Idtf was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.