Grs Medical Group INC

NPI #1972838142 in Toluca Lake, California

Provider Information

NPI Number: 1972838142
Entity Type: Organization
Organization Name: Grs Medical Group INC
Primary Specialty: General Practice
Enumeration Date: Oct 6, 2009
Last Updated: Oct 6, 2009

Practice Location

Address: 10745 RIVERSIDE DR
Address 2: STE A
City: Toluca Lake
State: California
ZIP Code: 91602-2371
Phone: (181) 862-3004

Authorized Official

Name: MR. RUBEN SUZON GUALBERTO, M.D.
Title: CEO
Phone: 18186230042

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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