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GRS MEDICAL GROUP INC NPI 1972838142


NPI Information

NPI: 1972838142
Provider Name: GRS MEDICAL GROUP INC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
10745 RIVERSIDE DR
STE A
TOLUCA LAKE, CA
ZIP 91602
Phone: (181) 862-3004
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GRS MEDICAL GROUP INC is a general practice in Toluca Lake, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee GRS MEDICAL GROUP INC NPI is 1972838142. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10745 RIVERSIDE DR
STE A
TOLUCA LAKE, CA
ZIP 91602-371
Phone: (181) 862-3004

The provider's authorized official is Ruben Suzon Gualberto .
The authorized official title is Ceo and has the following contact phone number 18186230042.

The enumeration date for this NPI number is 10/6/2009 and was last updated on 10/6/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeA32356CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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