Gradman, Wayne Stuart

Gradman, Wayne Stuart is an sole proprietor health care provider with primary practice located at 235 S Mccarty Dr , Beverly Hills CA 90212-3701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Gradman, Wayne Stuart can be contacted via phone (424) 653-8560.

Contact Information

Primary practice address
235 S Mccarty Dr Beverly Hills CA 90212-3701
Phone: (424) 653-8560
Fax: (310) 277-5045
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X G17696 California

Profile Details

NPI number 1104934199
LBN Legal business name Gradman, Wayne Stuart
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2006
Last updated Dec 22nd, 2022 - about 2 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 1104934199 NPPES
California Other 00G176960 MEDI-CAL PROVIDER NUMBER
California Other WG17696D MEDI-CAL PROVIDER NUMBER

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