Grunbaum, Laura

Grunbaum, Laura is an individual health care provider with primary practice located at 1300 Bancroft Ave Suite 204, San Leandro CA 94577-5147. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Grunbaum, Laura can be contacted via phone (510) 483-2600.

Contact Information

Primary practice address
1300 Bancroft Ave Suite 204 San Leandro CA 94577-5147
Phone: (510) 483-2600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G080985 California

Profile Details

NPI number 1780624700
LBN Legal business name Grunbaum, Laura
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Dec 17th, 2021 - about 3 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 1780624700 NPPES
California MEDICAID YYY48935Y

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