Grossman, Gerald
Grossman, Gerald is an individual health care provider with primary practice located at 935 S Sunset Ave , West Covina CA 91790-3408. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Grossman, Gerald can be contacted via phone (323) 932-5301.Contact Information
Primary practice address
935 S Sunset Ave
West Covina CA 91790-3408
Phone: (323) 932-5301
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | G22345 | California |
Profile Details
| NPI number | 1073561098 |
|---|---|
| LBN Legal business name | Grossman, Gerald |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Aug 3rd, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073561098 | NPPES |
| California | MEDICAID | 00G22345 |
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