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GRACE MEDICAL GROUP OF THE VALLEY INC NPI 1215965223


NPI Information

NPI: 1215965223
Provider Name: GRACE MEDICAL GROUP OF THE VALLEY INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2740 N GAREY AVE
SUITE 100
POMONA, CA
ZIP 91767
Phone: (909) 392-3230
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GRACE MEDICAL GROUP OF THE VALLEY INC is a family medicine in Pomona, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. GRACE MEDICAL GROUP OF THE VALLEY INC NPI is 1215965223. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2740 N GAREY AVE
SUITE 100
POMONA, CA
ZIP 91767-800
Phone: (909) 392-3230
Fax: (909) 392-3224

The provider's authorized official is Craig Endo .
The authorized official title is Ceo and has the following contact phone number (909) 392-3230.

The enumeration date for this NPI number is 6/29/2006 and was last updated on 6/27/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

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: 11/14/2023

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