NPI | 1265505762 |
---|---|
Doing Business As | LA GRANADA MEDICAL THERAPY UNIT |
Entity Type | Organization |
Authorized Contact | GEOFFREY WON-CHEN LEUNG Pho Admin Physician Iii 951-358-5121 |
Organization Subpart ? | No |
Primary Taxonomy | 251K00000X Public Health or Welfare |
Enumeration Date | 2006-11-15 |
Last Update Date | 2024-10-21 |