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Organization
GROLIRA GROUP INC.
Active
Organization
GROLIRA GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KAVEH KHAST (GENERAL MANAGER)
(619) 250-7620
Entity
Organization
Contact information
Practice address
4740 MURPHY CANYON ROAD SUITE # 205, SAN DIEGO, CA 92123
(619) 697-1111
(858) 750-3441
Mailing address
4740 MURPHY CANYON ROAD SUITE # 205, SAN DIEGO, CA 92123
(619) 697-1111
(858) 750-3441
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
C3697323
CA
Other
Enumeration date
06/25/2015
Last updated
06/25/2015
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