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. |
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Address | 12072 Trask Ave, Garden Grove, California |
Phone Number | 7145341942 |
Fax Number | 7145340967 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | ASSISTANT |
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Authorized Official Name | Uranga Mark |
Telephone Number | 7145341943 |
NPI Number Detail
NPI Number | 1811923303 |
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Provider Enumeration Date | 2006-06-25 |
Last Updated Date | 2008-03-14 |
Provider Mailing Address Detail
Address | 12072 Trask Ave |
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City | Garden Grove |
State | California (CA) |
Post Code | 928433821 |
Phone Number | 7145341942 |
Fax Number | 7145340967 |
Provider's Primary Taxonomy Detail
Speciality | Skilled Nursing Facility |
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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 | -- |
Post Comment/ Review Below
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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