St. Martin Family Medical Clinic, INC.
Point of Service in Garden Grove, CA. Organization (NPI-2).
NPI number1104044288
StatusActive
Last updated in NPPESNov 21, 2012
Details
- NPI
- 1104044288
- Entity type
- Organization (NPI-2)
- Legal business name
- St. Martin Family Medical Clinic, INC.
- Organization subpart
- No
- Enumeration date
- Apr 23, 2007
- Last updated
- Nov 21, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 305S00000X | Point of Service | A61958 | CA | Yes |
Practice location
12555 Garden Grove Blvd Ste 506Garden Grove, CA 92843-1904
Phone 714-537-3900 · Fax 714-537-7300
Mailing address
12555 Garden Grove Blvd Ste 506Garden Grove, CA 92843-1904
Phone 714-537-3900 · Fax 714-537-7300
Authorized official
Hung Nguyen
Direct Owner
7145373900
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