Organization
IOL MEDICAL SERVICES, INC
Active
Other names
GOLDEN HOUSE ADHC CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
LEONID GRINSHPAN (CFO)
(925) 457-8828
Entity
Organization
Contact information
Practice address
652 RUSSET CT, WALNUT CREEK, CA 94598-4652
(925) 457-8828
Mailing address
7373 UNIVERSITY AVE STE 110, LA MESA, CA 91941-6023
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ADU70135F
MEDI-CAL
CA
Enumeration date
07/10/2007
Last updated
08/22/2007
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