PACIFIC DX IDTF

GARDEN GROVE, CA
NPI1720179476
Entity TypeOrganization
Authorized ContactBRYN J HENDERSON
Authorized Official
714-741-0622
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2006-09-27
Last Update Date2020-08-22
Business Address
PACIFIC DX IDTF
13312 EUCLID ST
GARDEN GROVE, CA 92843
Phone number: 714-741-0622
Mailing Address
PACIFIC DX IDTF
13312 EUCLID ST
GARDEN GROVE, CA 92843
Phone number: 714-741-0622
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