12072 Trask, Inc. in Garden Grove - Skilled Nursing Facility

12072 Trask, Inc. - NPI 1811923303

12072 Trask, Inc. is a Skilled Nursing Facility in Garden Grove, California. 12072 Trask, Inc. practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for 12072 Trask, Inc. is 1811923303. The last update date is 2008-03-14.

12072 Trask, Inc.'s current location address is 12072 Trask Ave, Garden Grove, California. You can contact this provider via phone number 7145341942 and fax number 7145340967. The mailing address for 12072 Trask, Inc. is 12072 Trask Ave, Garden Grove, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization 12072 Trask, Inc.
Address 12072 Trask Ave, Garden Grove, California
Phone Number 7145341942
Fax Number 7145340967
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ASSISTANT
Authorized Official Name Uranga Mark
Telephone Number 7145341943

NPI Number Detail

NPI Number 1811923303
Provider Enumeration Date 2006-06-25
Last Updated Date 2008-03-14

Provider Mailing Address Detail

Address 12072 Trask Ave
City Garden Grove
State California (CA)
Post Code 928433821
Phone Number 7145341942
Fax Number 7145340967

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
Licence No 38640058
Definition:
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
ZZT05575H CA --
38640058 CA STATE LICENSE NUMBER
LTC70174F CA --

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FAQs about 12072 Trask, Inc.

What is the unique identifier code issued to 12072 Trask, Inc. by the Centers for Medicare & Medicaid Services?

The 12072 Trask, Inc. has been assigned the NPI (National Provider Identifier) 1811923303. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the 12072 Trask, Inc.'s physical address?

The 12072 Trask, Inc. is physically located at 12072 Trask Ave, in the city of Garden Grove, CA, with the postal code 928433821.

What is the 12072 Trask, Inc.'s area of specialization and corresponding taxonomy classification?

The 12072 Trask, Inc.'s specialty field is Skilled Nursing Facility, and it falls under the taxonomy code 314000000X, which categorizes healthcare providers based on their specialties.

When was the 12072 Trask, Inc.'s 1811923303 issued?

The 12072 Trask, Inc.'s 1811923303 was issued on 2006-06-25.

When was the information pertaining to 12072 Trask, Inc. most recently updated or revised?

The details related to 12072 Trask, Inc., including its address, specialty, and other relevant information, were last updated or revised on 2008-03-14.

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