| Organization Name: | GORETTI HO TAGHVA, M.D. INC. |
| NPI Number: | 1770931529 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GORETTI HO TAGHVA (PRESIDENT) |
| Mailing Address: | 1902 Mcclean Dr North Tustin |
| State: | CA US |
| Postal Code: | 927053319 |
| Phone Number: | 3235470851 |
| Fax Number: | |
| NPI Enumeration Date: | 06/01/2016 |
| NPI Last Update Date: | 06/01/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | A108049 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |