# LAUREL GROVE ACUTE HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EDEN MEDICAL CENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1265680045
- **Legal business name:** EDEN MEDICAL CENTER
- **Authorized official:** MR. GEORGE DERBEDROSIAN (REGIONAL DIRECTOR - PFS)
- **Authorized official phone:** (510) 869-6163

## Contact information

- **Practice address:** 19933 LAKE CHABOT RD, CASTRO VALLEY, CA 94546-4003
- **Practice address phone:** (510) 537-1234
- **Mailing address:** 3012 SUMMIT ST, 4TH FLOOR, OAKLAND, CA 94609-3480
- **Mailing address phone:** (510) 869-6591
- **Mailing address fax:** (510) 869-6592

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 09/04/2008
- **Last updated:** 09/13/2010