# JEFF T. GRANGE, MD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Grange Emergency Medical Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548684012
- **Authorized official:** DR. JEFF GRANGE (PRESIDENT)
- **Authorized official phone:** (909) 790-9950

## Contact information

- **Practice address:** 11727 PENDLETON RD, YUCAIPA, CA 92399-9718
- **Practice address phone:** (909) 790-9950
- **Mailing address:** 11727 PENDLETON RD, YUCAIPA, CA 92399-9718
- **Mailing address phone:** (909) 790-9950

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | — | CA | Yes |

## Other

- **Enumeration date:** 02/05/2014
- **Last updated:** 02/05/2014