# GRANDCARE MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134968100
- **Authorized official:** MR. ZHUOXIAN WU (DIRECTOR)
- **Authorized official phone:** (626) 502-1736

## Contact information

- **Practice address:** 1515 W CAMERON AVE STE 202, WEST COVINA, CA 91790-2734
- **Practice address phone:** (626) 502-1736
- **Practice address fax:** (626) 502-1746
- **Mailing address:** 1515 W CAMERON AVE STE 202, WEST COVINA, CA 91790-2734
- **Mailing address phone:** (626) 502-1736
- **Mailing address fax:** (626) 502-1746

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 05/21/2024
- **Last updated:** 05/21/2024