Organization
MEDICAL CENTER OF GARDEN GROVE
Active
Other names
Garden Grove Hospital /Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG C. ARMIN (VP OF GOVT PROGRAMS, TENET)
(310) 775-8043
Entity
Organization
Contact information
Practice address
12601 GARDEN GROVE BLVD, GARDEN GROVE, CA 92843-1908
(714) 537-5160
Mailing address
FILE 57483, LOS ANGELES, CA 90074-7483
(626) 300-4122
(714) 741-3322
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
060000152
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003666-0001
PACIFICARE OF CALIFORNIA
—
01
—
1039038
CIGNA (US / PUERTO RICO)
—
01
—
123050
COVENTRY HEALTH CARE KANS
—
01
—
8126
HEALTH NET
—
01
—
884562490
AETNA US HEALTHCARE (NATI
—
05
—
HSC30230F (IP)
—
CA
05
—
ZZT40230F (OP)
—
CA
01
—
ZZZC3006Z
BS OF CALIFORNIA
—
Enumeration date
06/29/2006
Last updated
10/17/2013
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