OrganizationActive
A Miracle Place Inc
NPI 1275319527 · Community Health Clinic/Center · Garden Grove, CA
Provider details
- NPI number
- 1275319527
- Entity type
- Organization
- Primary specialty
- Community Health Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Imelda Lenz, Licensee
Mailing address
12674 Hoover St
Garden Grove, CA 92841-4173
Registry dates
- Enumerated
- 2023-09-04
- Last updated
- 2023-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.