# PHILIP GRUSKIN MD INC

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

## Provider details

- **NPI number:** 1497908339
- **Authorized official:** DR. PHILIP GRUSKIN MD (PRES/SEC'Y)
- **Authorized official phone:** (310) 541-4485

## Contact information

- **Practice address:** 3015 VIA BUENA, PALOS VERDES ESTATES, CA 90274-4419
- **Practice address phone:** (310) 541-4485
- **Practice address fax:** (310) 541-4485
- **Mailing address:** 3015 VIA BUENA, PALOS VERDES ESTATES, CA 90274-4419
- **Mailing address phone:** (310) 541-4485
- **Mailing address fax:** (310) 541-4485

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | C31451 | CA | Yes |

## Other

- **Enumeration date:** 10/23/2008
- **Last updated:** 10/28/2008