MEDICARE: PACIFIC FAMILY MEDICINE CLINIC INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

General Provider Information

NPI Number	:	1356723605
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PACIFIC FAMILY MEDICINE CLINIC INC

Provider Business Mailing Address
First Line	:	1001 BROADWAY
Second Line	:	SUITE 302
City	:	MILLBRAE
State	:	CA
Zip	:	94030-1977
Country	:	US
Telephone Number	:	650-689-5431
Fax Number	:

Provider Business Practice Location Address
First Line	:	1001 BROADWAY STE 302
Second Line	:
City	:	MILLBRAE
State	:	CA
Zip	:	94030-1978
Country	:	US
Telephone Number	:	650-689-5431
Fax Number	:

Authorized Official
Title or Position	:	MD
Name	:	DR. THANH HUYNH
Credential	:	MD
Telephone Number	:	650-689-5431

Provider Enumeration Date	:	06/23/2015
Last Update Date	:	01/07/2026

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