Organization
GRASS VALLEY EXTENDED CARE INC
Active
Parent organization
A-KULDIP GILL MD PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
A-KULDIP GILL MD PC
Authorized official
DR. KULDIP S GILL M.D. (CEO)
(530) 273-8452
Entity
Organization
Contact information
Practice address
280 SIERRA COLLEGE DR, 201, GRASS VALLEY, CA 95945-5763
(530) 273-8452
(530) 477-5182
Mailing address
280 SIERRA COLLEGE BLVD, 201, GRASS VELLY, CA 95945-5763
(530) 273-8452
(530) 477-5182
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
CA
Other
Enumeration date
02/13/2014
Last updated
02/13/2014
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