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Organization
GARY GRIMES MD A PROFESSIONAL CORPORATION
Active
Organization
GARY GRIMES MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY GRIMES MD (CEO)
(661) 499-8346
Entity
Organization
Contact information
Practice address
22801 VENTURA BLVD UNIT 115-C, WOODLAND HILLS, CA 91364-1222
(661) 267-0777
Mailing address
22801 VENTURA BLVD UNIT 115-C, WOODLAND HILLS, CA 91364-1222
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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