Grady, Yolanda T

Grady, Yolanda T is an individual health care provider with primary practice located at 13768 Roswell Ave Suite 202, Chino CA 91710-1401. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Grady, Yolanda T can be contacted 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:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A53673 California

Profile Details

NPI number 1235135518
LBN Legal business name Grady, Yolanda T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Apr 21st, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235135518 NPPES
California MEDICAID 00A536730

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