La Granada Medical Therapy Unit

LBN: County Of Riverside
La Granada Medical Therapy Unit is an health care organization with primary practice located at 10353 Gramercy Pl , Riverside CA 92505-1334. The organization recently has only one registered license in Agencies / Public Health or Welfare, which is considered as the primary health care specialty. County Of Riverside can be contacted via phone (951) 687-3113, or through Mora, Susan Johnson via phone (951) 358-5401.

Contact Information

Primary practice address
10353 Gramercy Pl Riverside CA 92505-1334
Phone: (951) 687-3113
Fax: (951) 359-1747
Website:
Map and Directions
Authorized official contact:
Name: Mora, Susan Johnson Public Health Nurse (PHN)
Phone: (951) 358-5401

Health care specialties

SpecialtyCodeLicense #State
Agencies / Public Health or Welfare 251K00000X

Profile Details

NPI number 1265505762
LBN Legal business name County Of Riverside
DBA Doing business as La Granada Medical Therapy Unit
Authorized official Mora, Susan Johnson Public Health Nurse (PHN)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265505762 NPPES
California Other CCS00030F MEDI-CAL PROVIDER NUMBER

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