Grandtag Madisonrealty Llc

LBN: Grandtag Madisonrealty Llc
Grandtag Madisonrealty Llc is an health care organization with primary practice located at 501 S College Ave , Claremont CA 91711-5527. The organization recently has only one registered license in Other Service Providers / Contractor, which is considered as the primary health care specialty. Grandtag Madisonrealty Llc can be contacted via phone (909) 686-0117, or through Burdette, Forbes Willard via phone (626) 796-8700.

Contact Information

Primary practice address
501 S College Ave Claremont CA 91711-5527
Phone: (909) 686-0117
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Burdette, Forbes Willard
Phone: (626) 796-8700

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1730678756
LBN Legal business name Grandtag Madisonrealty Llc
DBA Doing business as
Authorized official Burdette, Forbes Willard
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2018
Last updated May 4th, 2018 - about 6 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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