# SURGICAL INSTITUTE OF GARDEN GROVE, LLC.

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

## Provider details

- **NPI number:** 1942383963
- **Authorized official:** DR. ROBERT HA M.D. (CONTROLING MEMBER)
- **Authorized official phone:** (714) 741-3200

## Contact information

- **Practice address:** 12828 HARBOR BLVD STE 210, GARDEN GROVE, CA 92840-5834
- **Practice address phone:** (714) 741-3200
- **Practice address fax:** (714) 741-3204
- **Mailing address:** 12828 HARBOR BLVD STE 210, GARDEN GROVE, CA 92840-5834
- **Mailing address phone:** (714) 741-3200
- **Mailing address fax:** (714) 741-3204

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 2936 | CA | Yes |

## Other

- **Enumeration date:** 10/23/2006
- **Last updated:** 07/12/2007