12072 Trask, Inc.

LBN: 12072 Trask, Inc.
12072 Trask, Inc. is an health care organization with primary practice located at 12072 Trask Ave , Garden Grove CA 92843-3821. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. 12072 Trask, Inc. can be contacted via phone (714) 534-1942, or through Uranga, Mark via phone (714) 534-1943.

Contact Information

Primary practice address
12072 Trask Ave Garden Grove CA 92843-3821
Phone: (714) 534-1942
Fax: (714) 534-0967
Website:
Map and Directions
Authorized official contact:
Name: Uranga, Mark
Phone: (714) 534-1943

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 38640058 California

Profile Details

NPI number 1811923303
LBN Legal business name 12072 Trask, Inc.
DBA Doing business as
Authorized official Uranga, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Jun 25th, 2006
Last updated Mar 14th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811923303 NPPES
California MEDICAID ZZT05575H
California Other 38640058
California MEDICAID LTC70174F

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