Grandolfo, William Robert
Grandolfo, William Robert is an sole proprietor health care provider with primary practice located at 17330 Brookhurst Street Suite 315, Fountain Valley CA 92708. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Grandolfo, William Robert can be contacted via phone (714) 377-3198.Contact Information
Primary practice address
17330 Brookhurst Street Suite 315
Fountain Valley CA 92708
Phone: (714) 377-3198
Fax: (714) 377-3198
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | G13336 | California |
Profile Details
| NPI number | 1649596479 |
|---|---|
| LBN Legal business name | Grandolfo, William Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 19th, 2010 |
| Last updated | Apr 19th, 2010 - about 14 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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