Provider Demographics
NPI:1639570971
Name:GRACE HOSPITALIST GROUP, INC.
Entity Type:Organization
Organization Name:GRACE HOSPITALIST GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMI
Authorized Official - Middle Name:
Authorized Official - Last Name:ELMUFDI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:909-731-0387
Mailing Address - Street 1:36322 BLADEN AVE
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-6501
Mailing Address - Country:US
Mailing Address - Phone:909-731-0387
Mailing Address - Fax:888-479-9933
Practice Address - Street 1:36485 INLAND VALLEY DR
Practice Address - Street 2:
Practice Address - City:WILDOMAR
Practice Address - State:CA
Practice Address - Zip Code:92595-9681
Practice Address - Country:US
Practice Address - Phone:951-767-1392
Practice Address - Fax:888-479-9933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-05
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA108497208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Single Specialty