Grancell Village Clinic

LBN: Jha Geriatric Services
Grancell Village Clinic is an health care organization with primary practice located at 7150 Tampa Ave , Reseda CA 91335. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Jha Geriatric Services can be contacted via phone (818) 774-3000, or through Forrest, Mary M via phone (818) 774-3208.

Contact Information

Primary practice address
7150 Tampa Ave Reseda CA 91335
Phone: (818) 774-3000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Forrest, Mary M
Phone: (818) 774-3208

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 960000819 California

Profile Details

NPI number 1811990377
LBN Legal business name Jha Geriatric Services
DBA Doing business as Grancell Village Clinic
Authorized official Forrest, Mary M
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2005
Last updated Jul 2nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811990377 NPPES
California MEDICAID CMM70542F

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