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GARDEN GROVE WOMEN'S HEALTH SPECIALISTS INC. NPI 1396960563


NPI Information

NPI: 1396960563
Provider Name: GARDEN GROVE WOMEN'S HEALTH SPECIALISTS, INC.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 05D0982178

Address:
12555 GARDEN GROVE BLVD STE 301
GARDEN GROVE, CA
ZIP 92843
Phone: (714) 741-0501
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GARDEN GROVE WOMEN'S HEALTH SPECIALISTS, INC. is an obstetrics gynecology in Garden Grove, CA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. GARDEN GROVE WOMEN'S HEALTH SPECIALISTS, INC. NPI is 1396960563. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12555 GARDEN GROVE BLVD STE 301
GARDEN GROVE, CA
ZIP 92843-903
Phone: (714) 741-0501
Fax: (714) 741-0095

The provider's authorized official is Phu Nguyen .
The authorized official title is President and has the following contact phone number (714) 741-0501.

The CLIA number assigned to this NPI record is 05D0982178 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/14/2007 and was last updated on 10/2/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & Gynecology20A7161CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1WAX7161AMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
2Y14047MEDICARE UPINCALIFORNIA
3W17836MEDICARE UPINCALIFORNIA
400AX71610MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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