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General NPI Number Information
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NPI Number | 1427099720
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Entity Type | Organization
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Legal Business Name | GROSSMONT FAMILY MEDICAL GROUP, INC.
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 5525 GROSSMONT CENTER DR SUITE 200
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City | LA MESA
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State | CA
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Zip | 91942-3009
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Country | US
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Telephone | 619-644-6500
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Fax | 619-644-6526
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Provider Business Mailing Address
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Address Line | 5525 GROSSMONT CENTER DR SUITE 200
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City | LA MESA
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State | CA
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Zip | 91942-3009
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Country | US
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Telephone | 619-644-6500
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Fax | 619-644-6526
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. JOSEPH FRANCIS LEONARD
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Credential | M.D.
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Telephone | 619-644-6500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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