# JAMES L GRISEZ, MD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Plastic, Reconstructive & Hand Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255459020
- **Authorized official:** MS. DIANE MADELINE GRISEZ PHD (ADMINISTRATOR)
- **Authorized official phone:** (805) 489-1409

## Contact information

- **Practice address:** 200 STATION WAY, STE 200B, ARROYO GRANDE, CA 93420-3348
- **Practice address phone:** (805) 489-1409
- **Practice address fax:** (895) 489-1290
- **Mailing address:** 200 STATION WAY, STE 200B, ARROYO GRANDE, CA 93420-3348
- **Mailing address phone:** (805) 489-1409
- **Mailing address fax:** (895) 489-1290

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/27/2007
- **Last updated:** 03/05/2009