| Garden Grove Medical Group Inc | |
|
9896 Garden Grove Blvd Garden Grove CA 92844-1643 | |
| (714) 636-3032 | |
| (714) 636-3116 |
| Full Name | Garden Grove Medical Group Inc |
|---|---|
| Speciality | General Practice |
| Location | 9896 Garden Grove Blvd, Garden Grove, California |
| Authorized Official Name and Position | Robert T Ha (PRESIDENT) |
| Authorized Official Contact | 7146363032 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Garden Grove Medical Group Inc 9896 Garden Grove Blvd Garden Grove CA 92844-1643 Ph: (714) 636-3032 | Garden Grove Medical Group Inc 9896 Garden Grove Blvd Garden Grove CA 92844-1643 Ph: (714) 636-3032 |
| NPI Number | 1972781458 |
|---|---|
| Provider Enumeration Date | 02/06/2008 |
| Last Update Date | 11/22/2013 |
| Medicare PECOS PAC ID | 1456514264 |
|---|---|
| Medicare Enrollment ID | O20120515000096 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972781458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Robert Tae Ha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750302188 PECOS PAC ID: 6406852904 Enrollment ID: I20100330001088 |
| Provider Name | Namju Kim Shin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326377292 PECOS PAC ID: 3375850449 Enrollment ID: I20150922002407 |
| Provider Name | Luke S Won |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1144625823 PECOS PAC ID: 7810278652 Enrollment ID: I20180802003556 |
| Provider Name | Jieun Shin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275035917 PECOS PAC ID: 6901262328 Enrollment ID: I20230509002862 |
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 |