Organization
GRACE MOBILE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROLAND T FLORES RN (CEO)
(310) 245-1414
Entity
Organization
Contact information
Practice address
17315 STUDEBAKER RD STE 204, CERRITOS, CA 90703-2508
(310) 295-6492
(310) 295-6542
Mailing address
17315 STUDEBAKER RD STE 204, CERRITOS, CA 90703-2508
(310) 295-6492
(310) 295-6542
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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