Healthcare Provider Details

I. General information

NPI: 1881838860
Provider Name (Legal Business Name): NHAN HOA COMPREHENSIVE HEALTH CARE CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2009
Last Update Date: 10/22/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7761 GARDEN GROVE BLVD
GARDEN GROVE CA
92841-4200
US

IV. Provider business mailing address

7761 GARDEN GROVE BLVD
GARDEN GROVE CA
92841-4200
US

V. Phone/Fax

Practice location:
  • Phone: 714-898-8888
  • Fax: 714-901-7580
Mailing address:
  • Phone: 714-898-8888
  • Fax: 714-901-7580

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number145620
License Number StateCA

VIII. Authorized Official

Name: KATHY NGUYEN
Title or Position: CHIEF OPERATING OFFICER
Credential: M.B.A.
Phone: 714-898-8888