| NPI | 1265505762 |
|---|---|
| Doing Business As | LA GRANADA MEDICAL THERAPY UNIT |
| Entity Type | Organization |
| Authorized Contact | SUSAN JOHNSON MORA Cms Branch Chief 951-358-5401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-08-22 |