County Of Orange
Specialty details in registry · Garden Grove, CA
At a glance
6202 Cerulean Ave, Garden Grove, CA 92845-2711
NPPES record updated Dec 20, 2019. Public records can lag behind changes at a practice.
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- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
6202 Cerulean AveGarden Grove, CA 92845-2711
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 261QP2000X
- Enumeration date
- Jan 31, 2007
- Record updated
- Dec 20, 2019
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Specialty details in registry
261QP2000X · Primary
Specialty details in registry
261QR0401X
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
6202 Cerulean AveGarden Grove, CA 92845-2711
- Phone
- (714) 663-6088
Mailing address
405 W 5TH ST STE 212SANTA ANA, CA 927014522
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