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General NPI Number Information
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NPI Number | 1740381078
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Entity Type | Organization
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Legal Business Name | GARDEN GROVE OUTPATIENT SURGERY CENTER
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 13132 MAGNOLIA ST STE B
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City | GARDEN GROVE
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State | CA
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Zip | 92844-1326
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Country | US
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Telephone | 714-590-1452
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Fax | 714-590-1352
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Provider Business Mailing Address
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Address Line | 13132 MAGNOLIA ST STE B
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City | GARDEN GROVE
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State | CA
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Zip | 92844-1326
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. ANTHONY H DINH
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Credential | D.O.
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Telephone | 714-590-1452
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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