Restore Health Corp
LBN: Restore Health Corp
Restore Health Corp is an health care organization with primary practice located at 12666 Brookhurst St Ste 110 , Garden Grove CA 92840-4866. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty.
Restore Health Corp can be contacted via phone (714) 705-6992, or through Quach-Tran, Tina Tuyet via phone (714) 705-6992.
Contact Information
Primary practice address
12666 Brookhurst St Ste 110
Garden Grove CA 92840-4866
Phone: (714) 705-6992
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
NPI number | 1215672613 |
---|---|
LBN Legal business name | Restore Health Corp |
DBA Doing business as | |
Authorized official | Quach-Tran, Tina Tuyet |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Apr 29th, 2022 |
Last updated | May 2nd, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1215672613 | NPPES |
California | Other | PHY57946 | PHARMACY LICENSE |
California | MEDICAID | 7217942 | PHARMACY LICENSE |
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