# EDWIN GROMIS M.D. A PROF CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437568250
- **Authorized official:** DR. EDWIN GROMIS (PRESIDENT)
- **Authorized official phone:** (310) 273-9626

## Contact information

- **Practice address:** 1122 S. ROBERTSON BLVD SUITE 1, LOS ANGELES, CA 90035
- **Practice address phone:** (310) 273-9626
- **Mailing address:** 1122 S. ROBERTSON BLVD SUITE 1, LOS ANGELES, CA 90035

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | A31873 | CA | Yes |

## Other

- **Enumeration date:** 08/06/2014
- **Last updated:** 08/06/2014