De Grano, Gregorio L

De Grano, Gregorio L is an sole proprietor health care provider with primary practice located at 17075 Devonshire St Ste 204 , Northridge CA 91325-5408. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. De Grano, Gregorio L can be contacted via phone (661) 878-6313.

Contact Information

Primary practice address
17075 Devonshire St Ste 204 Northridge CA 91325-5408
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP23058 California

Profile Details

NPI number 1417392176
LBN Legal business name De Grano, Gregorio L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2013
Last updated May 7th, 2013 - about 12 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 1417392176 NPPES
California Other 23058 NP

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