Grushkin, Carl Mayer
Grushkin, Carl Mayer is an individual health care provider with primary practice located at 4650 Sunset Blvd. Ms# 40, Los Angeles CA 90027-6062. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Nephrology, which is considered as his primary health care specialty. Grushkin, Carl Mayer can be contacted via phone (323) 361-2102.Contact Information
Primary practice address
4650 Sunset Blvd. Ms# 40
Los Angeles CA 90027-6062
Phone: (323) 361-2102
Fax: (323) 361-1829
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Nephrology | 2080P0210X | G13885 | California |
Profile Details
| NPI number | 1023101557 |
|---|---|
| LBN Legal business name | Grushkin, Carl Mayer |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | May 14th, 2008 - about 17 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 | 1023101557 | NPPES |
| California | MEDICAID | 00G138850 | |
| California | Other | 00G138850G07 |
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