PACIFIC DX IDTF – NPI #1720179476
Family Medicine

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.

Health Care Provider Taxonomy Code for Family Medicine

PACIFIC DX IDTF is a provider located in GARDEN GROVE, CA. NPPES has assigned the NPI number 1720179476 to PACIFIC DX IDTF on September 27, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PACIFIC DX IDTF below.

NPI Profile for
PACIFIC DX IDTF

NPI Number
1720179476
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PACIFIC DX IDTF
Primary location
13312 EUCLID ST
GARDEN GROVE, CA 92843
Phone: (714) 741-0622 Fax: (714) 741-0623
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BRYN HENDERSON
AUTHORIZED OFFICIAL
Phone: (714) 741-0622
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.