Healthcare Provider Details

I. General information

NPI: 1245655364
Provider Name (Legal Business Name): ORANGE HEALTHCARE AND PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2014
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10596 GARDEN GROVE BLVD
GARDEN GROVE CA
92843-1163
US

IV. Provider business mailing address

10596 GARDEN GROVE BLVD
GARDEN GROVE CA
92843-1163
US

V. Phone/Fax

Practice location:
  • Phone: 714-462-4480
  • Fax: 714-462-4490
Mailing address:
  • Phone: 714-462-4480
  • Fax: 714-462-4490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: KANIR SURESHBHAI KABARIA
Title or Position: PRESIDENT/CEO
Credential:
Phone: 714-462-4480