Dr. Jacqueline Thanhhuyen DO, M.D.

Internal Medicine in Tustin, CA. Individual provider (NPI-1).

NPI number1689646952

StatusActive

Last updated in NPPESMar 7, 2023

Details

NPI: 1689646952
Entity type: Individual (NPI-1)
Name: Dr. Jacqueline Thanhhuyen DO
Credential: M.D.
Sex: Female
Sole proprietor: No
Enumeration date: Feb 2, 2006
Last updated: Mar 7, 2023

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207R00000X	Internal Medicine	G78274	CA	Yes

Practice location

1095 Irvine Blvd
Tustin, CA 92780-3526

Phone 714-505-7110

Mailing address

1095 Irvine Blvd
Tustin, CA 92780-3526

Phone 714-505-7110 · Fax 714-505-7108

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Internal Medicine Physician providers in Tustin, CA

All 45 Internal Medicine Physician providers in Tustin · All 3,076 providers in Tustin

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