| Prime Healthcare Services - Garden Grove Llc | |
|
12601 Garden Grove Blvd Garden Grove CA 92843-1908 | |
| (714) 741-2700 | |
| Not Available |
| Full Name | Prime Healthcare Services - Garden Grove Llc |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 12601 Garden Grove Blvd, Garden Grove, California |
| Authorized Official Name and Position | Christopher Doan (MANAGING ASSOCIATE GENERAL COUNSEL) |
| Authorized Official Contact | 3102594706 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Healthcare Services - Garden Grove Llc 12601 Garden Grove Blvd Garden Grove CA 92843-1908 Ph: (714) 741-2700 | Prime Healthcare Services - Garden Grove Llc 12601 Garden Grove Blvd Garden Grove CA 92843-1908 Ph: (714) 741-2700 |
| NPI Number | 1003688953 |
|---|---|
| Provider Enumeration Date | 10/24/2023 |
| Last Update Date | 10/24/2023 |
| Certification Date | 10/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003688953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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