# PRIME HEALTHCARE SERVICES - GARDEN GROVE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Garden Grove Hospital Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598575276
- **Authorized official:** CHRISTOPHER DOAN (MANAGING ASSOCIATE GENERAL COUNSEL)
- **Authorized official phone:** (310) 259-4706

## Contact information

- **Practice address:** 12601 GARDEN GROVE BLVD, GARDEN GROVE, CA 92843-1908
- **Practice address phone:** (714) 741-2700
- **Practice address fax:** (714) 741-3370
- **Mailing address:** 12601 GARDEN GROVE BLVD, GARDEN GROVE, CA 92843-1908
- **Mailing address phone:** (714) 741-2700
- **Mailing address fax:** (714) 741-3370

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 01/13/2025
- **Last updated:** 01/13/2025
