GARDEN GROVE MEDICAL AND DENTAL SURGERY CENTER LLC NPI 1518687888

NPI Information

  • NPI: 1518687888
  • Provider Name: GARDEN GROVE MEDICAL AND DENTAL SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 12828 HARBOR BLVD STE 210
    GARDEN GROVE, CA
    ZIP 92840
  • Phone: (714) 844-9212

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NPI Details

GARDEN GROVE MEDICAL AND DENTAL SURGERY CENTER, LLC is an ambulatory surgical clinic center in Garden Grove, CA. GARDEN GROVE MEDICAL AND DENTAL SURGERY CENTER, LLC NPI is 1518687888. The provider is registered as an organization entity type.

The provider's business location address is:

12828 HARBOR BLVD STE 210
GARDEN GROVE, CA
ZIP 92840-834
Phone: (714) 844-9212
Fax: (714) 844-9212

The provider's authorized official is Mohammad Abdul-fielat .
The authorized official title is Chief Administrative Officer and has the following contact phone number (951) 818-6017.

The enumeration date for this NPI number is 8/29/2022 and was last updated on 8/29/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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: 3/30/2025

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