REFORM24 MEDICAL GROUP INC
NPI 1053718288
Family Medicine in Garden Grove, CA

Active since December 03, 2014CLIA 05D2147374 · Waiver
9535 GARDEN GROVE BLVD, 102, GARDEN GROVE, CA 92844(714) 534-1112(714) 534-1116 Get Directions Write a Review

NPPES record last updated: December 3, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Reform24 Medical Group Inc NPPES

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

REFORM24 MEDICAL GROUP INC (NPI 1053718288) is a healthcare organization registered as a family medicine in Garden Grove, California and active in the NPI registry since December 2014. The organization holds a CLIA Waiver certificate valid through April 17, 2028 and lists Yong Ho Lee, Director, as its authorized official.

NPPES Registry Identity

NPI1053718288
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameREFORM24 MEDICAL GROUP INC
Location Address9535 GARDEN GROVE BLVD, 102Garden Grove, CA 92844-1550
Mailing Address9535 Garden Grove Blvd, 102Garden Grove, CA 92844-1550 · (714) 534-1112 · Fax (714) 534-1116
Fax(714) 534-1116
Organization SubpartNo
Authorized OfficialYong Ho LeeDirector · (714) 534-1112
Enumeration DateDecember 3, 2014
NPI 1053718288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

9535 GARDEN GROVE BLVD, Garden Grove, CA 92844

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2147374

Reform24 Medical Group, Inc. · Garden Grove, CA
Active · expires Apr 17, 2028
CLIA Number05D2147374
Laboratory TypePhysician Office
Certificate Effective DateApril 18, 2026
Certificate Expiration DateApril 17, 2028
Laboratory DirectorYong Ho Lee, Do
Laboratory Phone(714) 534-1112
Laboratory LocationReform24 Medical Group, Inc.9535 Garden Grove Blvd Ste 103, Garden Grove, CA 92844
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

Medical Genetics, Ph.D. Medical Genetics
9535 GARDEN GROVE BLVD, SUITE #103
GARDEN GROVE, CA 92844
Physical Therapist
9535 GARDEN GROVE BLVD, 104
GARDEN GROVE, CA 92844
Family Medicine
9535 GARDEN GROVE BLVD, 104
GARDEN GROVE, CA 92844
Internal Medicine
9535 GARDEN GROVE BLVD, SUITE 103
GARDEN GROVE, CA 92844
Family Medicine
9535 GARDEN GROVE BLVD, SUITE 102
GARDEN GROVE, CA 92844
Dentist (Dental Public Health)
9535 GARDEN GROVE BLVD, SUITE 201
GARDEN GROVE, CA 92844
Dentist
9535 GARDEN GROVE BLVD, 201
GARDEN GROVE, CA 92844
Dentist
9535 GARDEN GROVE BLVD
GARDEN GROVE, CA 92844

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053718288, enumerated as an "organization" on December 03, 2014.

The provider is located at 9535 GARDEN GROVE BLVD 102 GARDEN GROVE, CA 92844 and the phone number is (714) 534-1112.

Family Medicine with taxonomy code 207Q00000X.