# GROSSMONT IPG LTD

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

## Provider details

- **NPI number:** 1518175231
- **Authorized official:** DEBORAH MURPHY (CONTROLLER)
- **Authorized official phone:** (858) 565-4424

## Contact information

- **Practice address:** 5480 MARENGO AVE, LA MESA, CA 91942-2408
- **Practice address phone:** (619) 463-0281
- **Practice address fax:** (619) 461-7736
- **Mailing address:** 9619 CHESAPEAKE DR STE 103, SAN DIEGO, CA 92123-1394
- **Mailing address phone:** (858) 565-4424
- **Mailing address fax:** (858) 565-2428

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 0800000337 | CA | Yes |

## Other

- **Enumeration date:** 05/18/2007
- **Last updated:** 08/22/2020