Bolsa-ward Medical Clinic, Inc. - Medicare Primary Care in Garden Grove, CA

Bolsa-ward Medical Clinic, Inc. is a medicare enrolled primary clinic (Internal Medicine - Nephrology) in Garden Grove, California. The current practice location for Bolsa-ward Medical Clinic, Inc. is 13872 Harbor Blvd, Unit 1c, Garden Grove, California. For appointments, you can reach them via phone at (714) 531-5201. The mailing address for Bolsa-ward Medical Clinic, Inc. is 13872 Harbor Blvd, Unit 1c, Garden Grove, California and phone number is (714) 531-5201.

Bolsa-ward Medical Clinic, Inc. is licensed to practice in California (license number A65421). The clinic also participates in the medicare program and its NPI number is 1093918872. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (714) 531-5201.

Contact Information

Bolsa-ward Medical Clinic, Inc.
13872 Harbor Blvd
Unit 1c
Garden Grove
CA 92843-4000
(714) 531-5201
(714) 775-2849

Primary Care Clinic Profile

Full NameBolsa-ward Medical Clinic, Inc.
SpecialityInternal Medicine
Location13872 Harbor Blvd, Garden Grove, California
Authorized Official Name and PositionPhu Van Dang (PRESIDENT)
Authorized Official Contact7145315201
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bolsa-ward Medical Clinic, Inc.
13872 Harbor Blvd
Unit 1c
Garden Grove
CA 92843-4000

Ph: (714) 531-5201
Bolsa-ward Medical Clinic, Inc.
13872 Harbor Blvd
Unit 1c
Garden Grove
CA 92843-4000

Ph: (714) 531-5201

NPI Details:

NPI Number1093918872
Provider Enumeration Date06/07/2007
Last Update Date05/20/2014

Medicare PECOS Information:

Medicare PECOS PAC ID6103864780
Medicare Enrollment IDO20050422001233

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Medical Identifiers

Medical identifiers for Bolsa-ward Medical Clinic, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093918872NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine A41591 (California)Secondary
207Q00000XFamily Medicine A42349 (California)Secondary
207RN0300XInternal Medicine - Nephrology A65421 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Bolsa-ward Medical Clinic, Inc. acts as a billing entity for following providers:
Provider NameAn Quoc Dang
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1952302564
PECOS PAC ID: 0941474043
Enrollment ID: I20120106000208

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