Edward Gary Grant M.D.

NPI 1063465235 - Radiology - 2085B0100X

NPI Details
NPI 1063465235
Gender Male
Enumeration Date 05/18/2006
Last Updated 04/23/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
1520 SAN PABLO ST
LOWER LEVEL , STE 1600
LOS ANGELES CA, 90033-5310, US
Phone (323) 442-8541
Fax (323) 442-8755
Business Location
PO BOX 31309
LOS ANGELES CA, 90031-0309, US
Phone (323) 442-8541
Fax (323) 442-8755
Toxanomy
Taxonomy Code 2085B0100X
License State California
License Number G61910
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According to our database, Dr. Edward Gary Grant M.D. NPI is 1063465235, taxonomy code is 2085B0100X and license number is G61910, license state is located at California. Edward Gary Grant M.D. physically located at 1520 San Pablo St, Los Angeles CA, 90033-5310. NPI Number Edward Gary Grant M.D. has the Individual type.

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1063465235 NPI number is provided on an as is basis without warranty of any kind. 1063465235 is maintained by the National Plan & Provider Enumeration System. The contents of Edward Gary Grant M.D. are for informational purposes only.