Grasso, Gina M

Grasso, Gina M is an individual health care provider with primary practice located at 1955 Citracado Pkwy Ste 301, Escondido CA 92029-4113. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Grasso, Gina M can be contacted via phone (760) 746-3937.

Contact Information

Primary practice address
1955 Citracado Pkwy Ste 301 Escondido CA 92029-4113
Fax: (760) 746-3991
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT11139T California

Profile Details

NPI number 1700899952
LBN Legal business name Grasso, Gina M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Nov 21st, 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 1700899952 NPPES
California MEDICAID WOP11139A

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