MEDICARE: MONARCH HEALTH CARE, A MEDICAL GROUP, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282N00000X	General Acute Care Hospital		CA

General Provider Information

NPI Number	:	1841290228
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MONARCH HEALTH CARE, A MEDICAL GROUP, INC.

Provider Business Mailing Address
First Line	:	7 TECHNOLOGY DR
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92618-2302
Country	:	US
Telephone Number	:	949-923-3200
Fax Number	:	949-923-3499

Provider Business Practice Location Address
First Line	:	24451 HEALTH CENTER DR
Second Line	:	SADDLEBACK MEMORIAL MEDICAL CENTER
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92653-3689
Country	:	US
Telephone Number	:	949-452-3619
Fax Number	:	949-452-3385

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JAY J. COHEN
Credential	:	MD, MBA
Telephone Number	:	949-923-3200

Provider Enumeration Date	:	07/27/2005
Last Update Date	:	07/21/2022

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