Yolanda T Grady, M.D. Inc

LBN: Yolanda T Grady, M.D. Inc
Yolanda T Grady, M.D. Inc is an health care organization with primary practice located at 13768 Roswell Ave Suite 202, Chino CA 91710-1401. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Yolanda T Grady, M.D. Inc can be contacted via phone (909) 628-4205, or through Grady, Yolanda via phone (909) 628-4205.

Contact Information

Primary practice address
13768 Roswell Ave Suite 202 Chino CA 91710-1401
Phone: (909) 628-4205
Fax: (909) 628-4875
Website:
Map and Directions
Authorized official contact:
Name: Grady, Yolanda Doctor of Medicine (MD)
Phone: (909) 628-4205

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1952497513
LBN Legal business name Yolanda T Grady, M.D. Inc
DBA Doing business as
Authorized official Grady, Yolanda Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2006
Last updated May 29th, 2012 - about 12 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 1952497513 NPPES
California Other ZZZ31642Z PTAN
California Other P00418455 PTAN
California MEDICAID 00A536730 PTAN

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