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GARDEN GROVE PODIATRY
NPI 1447847546
Podiatrist - Foot & Ankle Surgery in Garden Grove, CA

Active since December 23, 2020
12665 GARDEN GROVE BLVD STE 203, GARDEN GROVE, CA 92843(714) 620-4699(888) 866-7055 Get Directions Write a Review

NPPES record last updated: September 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 21, 2021, May 3, 2021, Dec 23, 2020 (3 updates tracked since 2020).

About Garden Grove Podiatry NPPES

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

GARDEN GROVE PODIATRY (NPI 1447847546) is a healthcare organization registered as a foot & ankle surgery in Garden Grove, California and active in the NPI registry since December 2020. The organization maintains 2 additional practice locations and lists Marie Shin, President, as its authorized official.

NPPES Registry Identity

NPI1447847546
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameGARDEN GROVE PODIATRY
Location Address12665 GARDEN GROVE BLVD STE 203Garden Grove, CA 92843-1916
Mailing Address12665 Garden Grove Blvd Ste 203Garden Grove, CA 92843-1916 · (714) 620-4699 · Fax (888) 866-7055
Phone(714) 620-4699
Fax(888) 866-7055
Organization SubpartNo
Authorized OfficialMarie ShinPresident · (714) 620-4699
Enumeration DateDecember 23, 2020
Last NPPES UpdateSeptember 21, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2021
✔ NPI 1447847546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
12665 GARDEN GROVE BLVD STE 203, Garden Grove, CA 92843
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Secondary Practice Locations 2

Location 111637 The PlzNorwalk, CA 90650-3930 · Phone (562) 318-0810
Location 21706 W Orangethorpe Ave Ste DFullerton, CA 92833-4556 · Phone (714) 620-4699

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

DR. SE-YOUNG LEE M.D.
Internal Medicine
12665 GARDEN GROVE BLVD STE 203
GARDEN GROVE, CA 92843
Orange County (714) 468-5490
DR. MARIE WONKYONG SHIN DPM
Podiatrist (Primary Podiatric Medicine)
12665 GARDEN GROVE BLVD STE 203
GARDEN GROVE, CA 92843
Orange County (714) 620-4699
SE-YOUNG LEE MD INC
Internal Medicine
12665 GARDEN GROVE BLVD STE 203
GARDEN GROVE, CA 92843
Orange County (714) 468-5490

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 Podiatry's NPI number?

The NPI number for Garden Grove Podiatry is 1447847546. It was assigned to this organization in the NPPES registry on December 23, 2020.

Where is Garden Grove Podiatry located?

Garden Grove Podiatry is located at 12665 Garden Grove Blvd Ste 203, Garden Grove, CA 92843. The listed phone number is (714) 620-4699.

What is Garden Grove Podiatry's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Garden Grove Podiatry was last updated on September 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.