Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Phi Tan Huynh, MD

Individual provider Family Medicine Physician · NPI 1598742413

Phi Tan Huynh, MD is a Family Practice in Lodi, California. Qualified in 1990, 36 years ago. Practices with Bolsa Medical Group, a 14-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
36
Licensed in
CA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1901 W Kettleman Ln Ste 200
Lodi, CA 95242-4337
Phone: (209) 334-8540
Fax: (209) 368-2885
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A91806 (CA)

Record details

NPI number1598742413
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 30, 2005
Last updated in NPPESMarch 12, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Bolsa Medical Group — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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