# GRANT WILLIAMS MD, A PROFESSIONAL CORP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GRANT WILLIAMS MD, A PROFESSIONAL CORP
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1154637494
- **Legal business name:** GRANT WILLIAMS MD, A PROFESSIONAL CORP
- **Authorized official:** GRANT WILLIAMS M.D. (OWNER)
- **Authorized official phone:** (310) 652-4302

## Contact information

- **Practice address:** 250 N ROBERTSON BLVD, STE 106, BEVERLY HILLS, CA 90211-1788
- **Practice address phone:** (310) 271-8300
- **Mailing address:** 2980 N BEVERLY GLEN CIR, STE 100, LOS ANGELES, CA 90077-1726
- **Mailing address phone:** (310) 474-9809

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 08/24/2010
- **Last updated:** 10/19/2015