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South Grand Medical Clinic

Debarred entity
TypeCompany[sources]
NameSouth Grand Medical Clinic[sources]
Incorporation datenot available[sources]
Jurisdictionnot available[sources]
CountryUnited States[sources]
DescriptionProvider number(s): GR0047670[sources]
Registration numbernot available[sources]
SectorPhysician Group[sources]
Address1153 East Elma, Ontario, CA[sources]
Last changeLast processedFirst seen

Relationships

Data sources

US California Medicaid Suspended and ineligible providers22,466

Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.

United States · DHCS


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