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Organization
GARDEN GROVE PRIMARY CARE MEDICINE, INC.
Active
Organization
GARDEN GROVE PRIMARY CARE MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIE HWYNN M.D. (PRESIDENT)
(714) 741-0501
Entity
Organization
Contact information
Practice address
12555 GARDEN GROVE BLVD STE 301, GARDEN GROVE, CA 92843-1903
(714) 741-0501
(714) 741-0095
Mailing address
12555 GARDEN GROVE BLVD STE 301, GARDEN GROVE, CA 92843-1903
(714) 741-0501
(714) 741-0095
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A66861
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A668610
—
CA
Enumeration date
04/13/2007
Last updated
11/02/2022
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