Organization
GRACE FAMILY HEALTH INC
Active
Parent organization
MEDVANTX, INC.
Other names
Grace Family Health Walk In
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
KENNY HEINE (VP OF OPERATIONS)
(858) 964-1506
Entity
Organization
Contact information
Practice address
24910 LAS BRISAS RD, SUITE 116, MURRIETA, CA 92562-4010
(888) 390-0401
Mailing address
9276 SCRANTON RD, SUITE 100, SAN DIEGO, CA 92121-7701
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
66038
CA
Other
Enumeration date
05/14/2014
Last updated
11/12/2015
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