# GORETTI HO TAGHVA M D INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770931529
- **Authorized official:** GORETTI HO TAGHVA (MD)
- **Authorized official phone:** (949) 945-2168

## Contact information

- **Practice address:** 20360 SW BIRCH ST STE 180, NEWPORT BEACH, CA 92660-1533
- **Practice address phone:** (949) 945-2168
- **Mailing address:** 20360 SW BIRCH ST STE 180, NEWPORT BEACH, CA 92660-1533
- **Mailing address phone:** (949) 945-2168

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | A108049 | CA | Yes |

## Other

- **Enumeration date:** 06/01/2016
- **Last updated:** 03/23/2026