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Organization
PACIFIC GARDENS MEDICAL CENTER, LLC
Active
Organization
PACIFIC GARDENS MEDICAL CENTER, LLC
Active
Parent organization
PACIFIC GARDENS MEDICAL CENTER, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PACIFIC GARDENS MEDICAL CENTER, LLC
Authorized official
MRS. TAMMY JEAN THOMPSON (EXECUTIVE VICE PRESIDENT, CFO)
(209) 287-6308
Entity
Organization
Contact information
Practice address
21530 PIONEER BLVD, HAWAIIAN GARDENS, CA 90716-2608
(562) 860-0401
(562) 924-5871
Mailing address
700 17TH ST STE 201D, MODESTO, CA 95354-1249
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
—
—
Other
Enumeration date
12/20/2018
Last updated
01/13/2021
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