# GRS MEDICAL GROUP INC

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

## Provider details

- **NPI number:** 1972838142
- **Authorized official:** MR. RUBEN SUZON GUALBERTO M.D. (CEO)
- **Authorized official phone:** 18186230042

## Contact information

- **Practice address:** 10745 RIVERSIDE DR, STE A, TOLUCA LAKE, CA 91602-2371
- **Practice address phone:** (181) 862-3004
- **Mailing address:** 10745 RIVERSIDE DR, STE A, TOLUCA LAKE, CA 91602-2371
- **Mailing address phone:** (181) 862-3004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A32356 | CA | Yes |

## Other

- **Enumeration date:** 10/06/2009
- **Last updated:** 10/06/2009