Grolira Group Inc.

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

License

C3697323 Issued in CA

Legal business name

GROLIRA GROUP INC.

Practice address

4740 Murphy Canyon Road Suite # 205
San Diego, CA 92123

Phone

(619) 697-1111

Fax

(858) 750-3441

NPI assigned

Jun 25, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Kaveh Khast

Title

General Manager

Phone

(619) 250-7620

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435190400000",
    "number": "1134501257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4740 MURPHY CANYON ROAD SUITE # 205",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92123",
            "telephone_number": "619-697-1111",
            "fax_number": "858-750-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4740 MURPHY CANYON ROAD SUITE # 205",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92123",
            "telephone_number": "619-697-1111",
            "fax_number": "858-750-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROLIRA GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-25",
        "last_updated": "2015-06-25",
        "status": "A",
        "authorized_official_last_name": "KHAST",
        "authorized_official_first_name": "KAVEH",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "619-250-7620",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "CA",
            "license": "C3697323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary D. Groesbeck, MD
• Eric Ryan Groff, RRW
• Brian Grogan, MD
• Katherine Grogan, PHARMD
• Laura Browne Grogan, MD
• Einar Grondal, L. AC.
• Grondin Construction Inc.
• Rachel Grondin-Martinez, BCBA
• Arthur D Groneman
• Kaley Ann Grooms, MD

• Mobile Radiology Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Mobile Radiology Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.