| Choc Clinic Garden Grove | |
|
10602 Chapman Ave Garden Grove CA 92840-3103 | |
| (714) 532-7921 | |
| Not Available |
| Full Name | Choc Clinic Garden Grove |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 10602 Chapman Ave, Garden Grove, California |
| Authorized Official Name and Position | Gina Sue Cadogan (BILLING MANAGER) |
| Authorized Official Contact | 7142894818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Choc Clinic Garden Grove 10602 Chapman Ave Garden Grove CA 92840-3103 Ph: (714) 532-7921 | Choc Clinic Garden Grove 10602 Chapman Ave Garden Grove CA 92840-3103 Ph: (714) 532-7921 |
| NPI Number | 1568599769 |
|---|---|
| Provider Enumeration Date | 02/27/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568599769 | NPI | - | NPPES |
| CMM7110F | Other | CA | GROUP MEDI-CAL ID NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | CMM71110F (California) | Primary |
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