Organization
SURGICAL INSTITUTE OF GARDEN GROVE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT HA M.D. (CONTROLING MEMBER)
(714) 741-3200
Entity
Organization
Contact information
Practice address
12828 HARBOR BLVD STE 210, GARDEN GROVE, CA 92840-5834
(714) 741-3200
(714) 741-3204
Mailing address
12828 HARBOR BLVD STE 210, GARDEN GROVE, CA 92840-5834
(714) 741-3200
(714) 741-3204
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
2936
CA
Other
Enumeration date
10/23/2006
Last updated
07/12/2007
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