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Organization
GRANT WILLIAMS MD, A PROFESSIONAL CORP
Active
Organization
GRANT WILLIAMS MD, A PROFESSIONAL CORP
Active
Parent organization
GRANT WILLIAMS MD, A PROFESSIONAL CORP
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRANT WILLIAMS MD, A PROFESSIONAL CORP
Authorized official
GRANT WILLIAMS M.D. (OWNER)
(310) 652-4302
Entity
Organization
Contact information
Practice address
250 N ROBERTSON BLVD, STE 106, BEVERLY HILLS, CA 90211-1788
(310) 271-8300
Mailing address
2980 N BEVERLY GLEN CIR, STE 100, LOS ANGELES, CA 90077-1726
(310) 474-9809
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
NULL
Other
Enumeration date
08/24/2010
Last updated
10/19/2015
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