Organization · Type 2 NPI

Pacific Gardens Medical Center, LLC

Home Health Agency · Hawaiian Gardens, CA

NPI number 1144737107 Active

Practice location

21530 Pioneer Blvd
Hawaiian Gardens, CA 90716-2608

Call (562) 860-0401 Map

Mailing address

700 17th St Ste 201D
Modesto, CA 95354-1249

Specialties and licenses

Taxonomy	Code	License
Home Health Agency Primary	251E00000X	None listed

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

20 other providers at this address

NPI record

NPI: 1144737107
Entity type: Organization (Type 2)
Issued: Dec 29, 2017
Last updated: Jan 13, 2021
Status: Active
Subpart: Yes of Pacific Gardens Medical Center, LLC

Other names

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Pacific Gardens Medical Center, Home Health · doing business as

Authorized official

Mrs. Tammy Jean Thompson
Executive Vice President-CFO
(209) 287-6308

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1144737107

Pacific Gardens Medical Center, LLC's National Provider Identifier is 1144737107, issued on Dec 29, 2017. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Hawaiian Gardens, CA. The record was last updated on Jan 13, 2021.