Pacific Diagnostics

LBN: Pacific Diagnostics
Pacific Diagnostics is an health care organization with primary practice located at 13312 Euclid St , Garden Grove CA 92843-2514. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Pacific Diagnostics can be contacted via phone (714) 741-0622, or through Henderson, Bryn Jarald via phone (714) 741-0622.

Contact Information

Primary practice address
13312 Euclid St Garden Grove CA 92843-2514
Phone: (714) 741-0622
Fax: (714) 741-0623
Website:
Map and Directions
Authorized official contact:
Name: Henderson, Bryn Jarald Doctor of Osteopathy (DO)
Phone: (714) 741-0622

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20A4401 California

Profile Details

NPI number 1306881297
LBN Legal business name Pacific Diagnostics
DBA Doing business as
Authorized official Henderson, Bryn Jarald Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306881297 NPPES
California MEDICAID 00AX44011
California MEDICAID 00AX44010

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