Organization
GARDEN GROVE MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT T HA MD (PRESIDENT)
(714) 636-3032
Entity
Organization
Contact information
Practice address
9896 GARDEN GROVE BLVD, GARDEN GROVE, CA 92844-1643
(714) 636-3032
(714) 636-3116
Mailing address
9896 GARDEN GROVE BLVD, GARDEN GROVE, CA 92844-1643
(714) 636-3032
(714) 636-3116
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/06/2008
Last updated
11/22/2013
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