| Grs Medical Group Inc | |
|
10745 Riverside Dr Ste A Toluca Lake CA 91602-2371 | |
| (181) 862-3004 | |
| Not Available |
| Full Name | Grs Medical Group Inc |
|---|---|
| Speciality | General Practice |
| Location | 10745 Riverside Dr, Toluca Lake, California |
| Authorized Official Name and Position | Ruben Suzon Gualberto (CEO) |
| Authorized Official Contact | 18186230042 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grs Medical Group Inc 10745 Riverside Dr Ste A Toluca Lake CA 91602-2371 Ph: (181) 862-3004 | Grs Medical Group Inc 10745 Riverside Dr Ste A Toluca Lake CA 91602-2371 Ph: (181) 862-3004 |
| NPI Number | 1972838142 |
|---|---|
| Provider Enumeration Date | 10/06/2009 |
| Last Update Date | 10/06/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972838142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A32356 (California) | Primary |
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