1. Home
  2. Directory
  3. NPI Profile

GARDEN GROVE DERMATOLOGY CENTER
NPI 1386678894
Specialist in Garden Grove, CO

Active since July 10, 2006
12665 GARDEN GROVE BLVD #701, GARDEN GROVE, CO 92843(714) 530-7011 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Garden Grove Dermatology Center NPPES

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

GARDEN GROVE DERMATOLOGY CENTER (NPI 1386678894) is a healthcare organization registered as a specialist in Garden Grove, Colorado and active in the NPI registry since July 2006. The organization lists Joy Fortich, Billing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1386678894
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameGARDEN GROVE DERMATOLOGY CENTER
Location Address12665 GARDEN GROVE BLVD #701Garden Grove, CO 92843
Mailing AddressP.o. Box 15807Beverly Hills, CA 90209 · (909) 860-7600
Phone(714) 530-7011
Organization SubpartNo
Authorized OfficialJoy FortichBilling Supervisor · (909) 860-7600
Enumeration DateJuly 10, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1386678894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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

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 Garden Grove Dermatology Center's NPI number?

The NPI number for Garden Grove Dermatology Center is 1386678894. It was assigned to this organization in the NPPES registry on July 10, 2006.

Where is Garden Grove Dermatology Center located?

Garden Grove Dermatology Center is located at 12665 Garden Grove Blvd #701, Garden Grove, CO 92843. The listed phone number is (714) 530-7011.

What is Garden Grove Dermatology Center's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Garden Grove Dermatology Center was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.