Gardens Regional Medical Center in Hawaiian Gardens - Physician Assistant
Gardens Regional Medical Center - NPI 1104099415
Gardens Regional Medical Center is a Physician Assistant in Hawaiian Gardens, California. Gardens Regional Medical Center practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Gardens Regional Medical Center is 1104099415. The last update date is 2008-04-08.
Gardens Regional Medical Center's current location address is 21520 Pioneer Blvd, Hawaiian Gardens, California. You can contact this provider via phone number 5624029779 and fax number 5629244086. The mailing address for Gardens Regional Medical Center is 21520 Pioneer Blvd, Hawaiian Gardens, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Gardens Regional Medical Center |
|---|---|
| Address | 21520 Pioneer Blvd, Hawaiian Gardens, California |
| Phone Number | 5624029779 |
| Fax Number | 5629244086 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BARIATRIC |
|---|---|
| Authorized Official Name | Fobi A. Mathias |
| Credentials | M.D. |
| Telephone Number | 3106174334 |
NPI Number Detail
| NPI Number | 1104099415 |
|---|---|
| Provider Enumeration Date | 2008-04-08 |
| Last Updated Date | 2008-04-08 |
Provider Mailing Address Detail
| Address | 21520 Pioneer Blvd |
|---|---|
| City | Hawaiian Gardens |
| State | California (CA) |
| Post Code | 907162603 |
| Phone Number | 5624029779 |
| Fax Number | 5629244086 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA19699 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique identifier code issued to Gardens Regional Medical Center by the Centers for Medicare & Medicaid Services?
The Gardens Regional Medical Center has been assigned the NPI (National Provider Identifier) 1104099415. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Gardens Regional Medical Center?
The Gardens Regional Medical Center is physically situated at 21520 Pioneer Blvd, in the city of Hawaiian Gardens, state of CA, with the postal code 907162603.
What is Gardens Regional Medical Center's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gardens Regional Medical Center's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1104099415 to Gardens Regional Medical Center?
The Centers for Medicare & Medicaid Services assigned the 1104099415 to Gardens Regional Medical Center on 2008-04-08.
As of what date were the details related to Gardens Regional Medical Center most recently updated or revised?
The information pertaining to Gardens Regional Medical Center, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-08.
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