Organization
GENESIS HCP OF ORANGE COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILOU JOHAR (PRESIDENT)
(657) 233-8500
Entity
Organization
Contact information
Practice address
11552 KNOTT ST # C11, GARDEN GROVE, CA 92841-1824
(657) 233-8500
Mailing address
11552 KNOTT ST # C11, GARDEN GROVE, CA 92841-1824
(657) 233-8500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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