Organization
GRS MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUBEN SUZON GUALBERTO M.D. (CEO)
18186230042
Entity
Organization
Contact information
Practice address
10745 RIVERSIDE DR, STE A, TOLUCA LAKE, CA 91602-2371
(181) 862-3004
Mailing address
10745 RIVERSIDE DR, STE A, TOLUCA LAKE, CA 91602-2371
(181) 862-3004
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A32356
CA
Other
Enumeration date
10/06/2009
Last updated
10/06/2009
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