Universal Care
Clinic/Center, Medical Specialty in Garden Grove, CA. Organization (NPI-2).
Details
- NPI
- 1053400549
- Entity type
- Organization (NPI-2)
- Legal business name
- Universal Care
- Organization subpart
- No
- Enumeration date
- Oct 12, 2006
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM2500X | Clinic/Center, Medical Specialty | Knox-Keene 933-0209 | CA | Yes |
Practice location
12751 Harbor BoulevardGarden Grove, CA 92840-5800
Phone 714-636-7852 · Fax 714-636-0928
Mailing address
1600 E Hill StreetSignal Hill, CA 90755-3682
Phone 562-424-6200 · Fax 562-427-4634
Authorized official
John Donald Adams
Chief Medical Officer
5629814008
Is something wrong?
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