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
Mailing address1901 W Kettleman Ln, Suite 200, Lodi, CA 95242-4337

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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