# GARDEN GROVE MEDICAL GROUP INC

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

## Provider details

- **NPI number:** 1972781458
- **Authorized official:** ROBERT T HA MD (PRESIDENT)
- **Authorized official phone:** (714) 636-3032

## Contact information

- **Practice address:** 9896 GARDEN GROVE BLVD, GARDEN GROVE, CA 92844-1643
- **Practice address phone:** (714) 636-3032
- **Practice address fax:** (714) 636-3116
- **Mailing address:** 9896 GARDEN GROVE BLVD, GARDEN GROVE, CA 92844-1643
- **Mailing address phone:** (714) 636-3032
- **Mailing address fax:** (714) 636-3116

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/06/2008
- **Last updated:** 11/22/2013