| 360 Healthcare | |
|
12865 Main St Ste 105 Garden Grove CA 92840 | |
| (800) 560-9999 | |
| Not Available |
| Full Name | 360 Healthcare |
|---|---|
| Speciality | Internal Medicine |
| Location | 12865 Main St Ste 105, Garden Grove, California |
| Authorized Official Name and Position | Tan The Nguyen (CEO) |
| Authorized Official Contact | 8005609999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 360 Healthcare 12865 Main St Ste 105 Garden Grove CA 92840-8205 Ph: (800) 560-9999 | 360 Healthcare 12865 Main St Ste 105 Garden Grove CA 92840 Ph: (800) 560-9999 |
| NPI Number | 1548688732 |
|---|---|
| Provider Enumeration Date | 04/03/2014 |
| Last Update Date | 09/25/2019 |
| Medicare PECOS PAC ID | 7214159029 |
|---|---|
| Medicare Enrollment ID | O20141111002249 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548688732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Dat Q Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720092315 PECOS PAC ID: 0143254920 Enrollment ID: I20050921000526 |
| Provider Name | Tan The Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609839299 PECOS PAC ID: 7810995362 Enrollment ID: I20081212000602 |
| Provider Name | Richard T Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578883385 PECOS PAC ID: 9739499872 Enrollment ID: I20151102002418 |
| Provider Name | Andy H Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053748459 PECOS PAC ID: 5395974646 Enrollment ID: I20161018002357 |
| Provider Name | Dung Quoc Truong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205209285 PECOS PAC ID: 4688941958 Enrollment ID: I20170517002280 |
| Provider Name | Ngoc Kim Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891216370 PECOS PAC ID: 7113292459 Enrollment ID: I20171012000851 |
| Provider Name | Kirk Anthony Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710406848 PECOS PAC ID: 8820334824 Enrollment ID: I20190111002541 |
| Provider Name | Georgina Calderon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700437522 PECOS PAC ID: 2466884838 Enrollment ID: I20191125000259 |
| Provider Name | Yuri Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942939293 PECOS PAC ID: 6709250228 Enrollment ID: I20230324000944 |
Aaa Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13071 Brookhurst St Ste 150, Garden Grove, CA 92843 Phone: 657-251-0974 Fax: 657-251-0971 | |
Lee & Kim, Dds, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13031 Kerry St, Garden Grove, CA 92844 Phone: 714-638-2141 | |
Grace Geriatric Care Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8883 Westminster Ave, Garden Grove, CA 92844 Phone: 657-208-2221 Fax: 657-400-9174 | |
Sterling Hospitalist Medical Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12566 Valley View St, Garden Grove, CA 92845 Phone: 714-897-1071 Fax: 714-373-4696 | |
Huong Pham Optometry Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14251 Euclid St Ste F101, Garden Grove, CA 92843 Phone: 714-265-2197 Fax: 714-265-2411 | |
Reform24 Medical Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9535 Garden Grove Blvd, 102, Garden Grove, CA 92844 Phone: 714-534-1112 Fax: 714-534-1116 | |
Thuy Thanh Nguyen, Md, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12302 Garden Grove Blvd Ste 27, Garden Grove, CA 92843 Phone: 714-530-2772 Fax: 714-530-7424 |