Grossman, Jennifer Morris

Grossman, Jennifer Morris is an individual health care provider with primary practice located at 200 Medical Plaza #365,530,420,120, Los Angeles CA 90095. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Grossman, Jennifer Morris can be contacted via phone (310) 206-3244.

Contact Information

Primary practice address
200 Medical Plaza #365,530,420,120 Los Angeles CA 90095
Phone: (310) 206-3244
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X G81407 California

Profile Details

NPI number 1548289820
LBN Legal business name Grossman, Jennifer Morris
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jun 24th, 2010 - about 15 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 1548289820 NPPES
California MEDICAID 00G814070

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