Organization
ORCHARD HEALTH LLC
Active
Other names
Vital Care of Fountain Valley
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR AZRAG (OWNER)
(949) 807-6501
Entity
Organization
Contact information
Practice address
12894 HARBOR BLVD, GARDEN GROVE, CA 92840-5807
(949) 807-6501
(949) 807-6502
Mailing address
12894 HARBOR BLVD, GARDEN GROVE, CA 92840-5807
(949) 807-6501
(949) 807-6502
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
Other
Enumeration date
11/19/2025
Last updated
11/19/2025
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