Gridley, Larry B.

Gridley, Larry B. is an individual health care provider with primary practice located at 9961 Sierra Ave , Fontana CA 92335-6720. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gridley, Larry B. can be contacted via phone (909) 427-3910.

Contact Information

Primary practice address
9961 Sierra Ave Fontana CA 92335-6720
Phone: (909) 427-3910
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G22707 California

Profile Details

NPI number 1962550780
LBN Legal business name Gridley, Larry B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Sep 23rd, 2008 - about 16 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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