Organization
GROSSMONT IPG LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH MURPHY (CONTROLLER)
(858) 565-4424
Entity
Organization
Contact information
Practice address
5480 MARENGO AVE, LA MESA, CA 91942-2408
(619) 463-0281
(619) 461-7736
Mailing address
9619 CHESAPEAKE DR STE 103, SAN DIEGO, CA 92123-1394
(858) 565-4424
(858) 565-2428
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0800000337
CA
Other
Enumeration date
05/18/2007
Last updated
08/22/2020
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