Organization
GARVIN GROUP
Active
Other names
Passport Health
Organization subpart
No
Provider details
NPI number
Authorized official
LYNDA COOPER RN (DIRECTOR)
(714) 258-7196
Entity
Organization
Contact information
Practice address
15455 RED HILL AVE STE A, TUSTIN, CA 92780-7313
(714) 258-7196
(714) 258-7199
Mailing address
15455 RED HILL AVE STE A, TUSTIN, CA 92780-7313
(714) 258-7196
(714) 258-7199
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/09/2009
Last updated
09/09/2009
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