1. Home
  2. Directory
  3. California
  4. Garden Grove
  5. Pharmacy
  6. NPI Profile

GROVE HARBOR MEDICAL CENTER PHARMACY
NPI 1033744230
Pharmacy - Long Term Care Pharmacy in Garden Grove, CA

Active since March 08, 2020
12555 GARDEN GROVE BLVD STE 102, GARDEN GROVE, CA 92843(714) 636-0593(714) 636-7708 Get Directions Write a Review

NPPES record last updated: December 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2023, Mar 8, 2020 (2 updates tracked since 2020).

About Grove Harbor Medical Center Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GROVE HARBOR MEDICAL CENTER PHARMACY (NPI 1033744230) is a healthcare organization registered as a long term care pharmacy in Garden Grove, California and active in the NPI registry since March 2020. The organization lists Seid Amir Farzan Tavakkoli Isfahani, President, as its authorized official.

NPPES Registry Identity

NPI1033744230
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameSOCAL PHARMACY LLC
Location Address12555 GARDEN GROVE BLVD STE 102Garden Grove, CA 92843-1903
Mailing Address12555 Garden Grove Blvd Ste 102Garden Grove, CA 92843-1903 · (714) 636-0593 · Fax (714) 636-7708
Phone(714) 636-0593
Fax(714) 636-7708
Organization SubpartNo
Authorized OfficialSeid Amir Farzan Tavakkoli IsfahaniPresident · (256) 797-2552
Enumeration DateMarch 8, 2020
Last NPPES UpdateDecember 8, 20232 updates tracked since enumeration
NPPES CertifiedDecember 8, 2023
✔ NPI 1033744230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Also ListedPharmacyTaxonomy 333600000X
12555 GARDEN GROVE BLVD STE 102, Garden Grove, CA 92843
Open in Google Maps ↗

Other Names 1

Doing Business AsGrove Harbor Medical Center Pharmacy

Other Identifiers 1

Medicaid1649713777CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ESTHER KIM PHARM.D.
Pharmacist
12555 GARDEN GROVE BLVD STE 102
GARDEN GROVE, CA 92843
Orange County (714) 306-1863
SEID AMIR FARZAN TAVAKKOLI ISFAHANI PHARMD
Pharmacist
12555 GARDEN GROVE BLVD STE 102
GARDEN GROVE, CA 92843
Orange County (714) 636-0593
SOCAL PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
12555 GARDEN GROVE BLVD STE 102
GARDEN GROVE, CA 92843
Orange County (714) 636-0593
SOCAL PHARMACY LLC
Pharmacy (Long Term Care Pharmacy)
12555 GARDEN GROVE BLVD STE 102
GARDEN GROVE, CA 92843
Orange County (714) 636-0593

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Socal Pharmacy LLC's NPI number?

The NPI number for Socal Pharmacy LLC is 1033744230. It was assigned to this organization in the NPPES registry on March 8, 2020. The provider is doing business as Grove Harbor Medical Center Pharmacy.

Where is Socal Pharmacy LLC located?

Socal Pharmacy LLC is located at 12555 Garden Grove Blvd Ste 102, Garden Grove, CA 92843. The listed phone number is (714) 636-0593.

What is Socal Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

What insurance does Socal Pharmacy LLC accept?

Health plans from Moda Health Plan, Inc. list Socal Pharmacy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Socal Pharmacy LLC was last updated on December 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.