| NPI | 1679083026 |
|---|---|
| Other Name | TMG GARDEN GROVE |
| Entity Type | Organization |
| Authorized Contact | BRYN JARALD HENDERSON Owner 714-639-4012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2018-11-28 |