Ellsworth R. Grant, M.D.
LBN: Ellsworth Grant, M.D., Medical Corp
Ellsworth R. Grant, M.D. is an health care organization with primary practice located at 1245 Wilshire Blvd Suite 801, Los Angeles CA 90017-4810. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as the primary health care specialty.
Ellsworth Grant, M.D., Medical Corp can be contacted via phone (213) 481-3948, or through Ventura, Elizabeth C via phone (213) 481-3948.
Contact Information
Primary practice address
1245 Wilshire Blvd Suite 801
Los Angeles CA 90017-4810
Phone: (213) 481-3948
Fax: (213) 481-1697
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | G073084 | California |
Profile Details
| NPI number | 1538247424 |
|---|---|
| LBN Legal business name | Ellsworth Grant, M.D., Medical Corp |
| DBA Doing business as | Ellsworth R. Grant, M.D. |
| Authorized official | Ventura, Elizabeth C HCI |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Jun 21st, 2018 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538247424 | NPPES |
| California | MEDICAID | 00G730842 | |
| California | Other | G073084 | |
| California | MEDICAID | 00G730841 | |
| California | Other | AY691 |
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