Grody, Wayne William
Grody, Wayne William is an individual health care provider with primary practice located at 10833 Le Conte Ave , Los Angeles CA 90095-3075. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), Allopathic & Osteopathic Physicians / Molecular Genetic Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Molecular Genetic Pathology is his primary health care specialty. Grody, Wayne William can be contacted via phone (310) 206-6581.Contact Information
Primary practice address
10833 Le Conte Ave
Los Angeles CA 90095-3075
Phone: (310) 206-6581
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) | 207SG0201X | C40899 | California |
| Allopathic & Osteopathic Physicians / Molecular Genetic Pathology | 207ZP0007X | C40899 | California |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | C40899 | California |
Profile Details
| NPI number | 1235165796 |
|---|---|
| LBN Legal business name | Grody, Wayne William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2006 |
| Last updated | Jul 6th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235165796 | NPPES |
| California | MEDICAID | 00C408990 |
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