Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gardens Regional Medical Center

Organization Physician Assistant · NPI 1104099415

Gardens Regional Medical Center is a Physician Assistant in Hawaiian Gardens, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008

Practice location Address checks out

21520 Pioneer Blvd Ste 204
Hawaiian Gardens, CA 90716-2603
Phone: (562) 402-9779
Fax: (562) 924-4086
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA19699 (CA)

Record details

NPI number1104099415
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mathias Fobi — Bariatric Surgeon · (310) 617-4334
NPI enumeratedApril 8, 2008
Last updated in NPPESApril 8, 2008
Mailing address21520 Pioneer Blvd, Suite 204, Hawaiian Gardens, CA 90716-2603