James Santiago Grisolia, M.D. Inc

LBN: James Santiago Grisolia, M.D. Inc
James Santiago Grisolia, M.D. Inc is an health care organization with primary practice located at 4033 3Rd Ave Suite 410, San Diego CA 92103-2117. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as the primary health care specialty. James Santiago Grisolia, M.D. Inc can be contacted via phone (619) 297-1155, or through Grisolia, James Santiago via phone (619) 297-1155.

Contact Information

Primary practice address
4033 3Rd Ave Suite 410 San Diego CA 92103-2117
Fax:
Website:
Authorized official contact:
Name: Grisolia, James Santiago Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X G42884 California

Profile Details

NPI number 1801933684
LBN Legal business name James Santiago Grisolia, M.D. Inc
DBA Doing business as
Authorized official Grisolia, James Santiago Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2007
Last updated May 18th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801933684 NPPES
California MEDICAID 00G428840

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