# JEFFREY NATHAN GRANT,M.D. A MEDICAL CORP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1851684336
- **Authorized official:** DR. JEFFREY JNATHAN GRANT M.D. (PRESIDENT)
- **Authorized official phone:** (310) 659-4511

## Contact information

- **Practice address:** 8733 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1827
- **Practice address phone:** (310) 659-4511
- **Practice address fax:** (310) 659-1520
- **Mailing address:** 8733 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1827
- **Mailing address phone:** (310) 659-4511
- **Mailing address fax:** (310) 659-1520

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A24260 | CA | Yes |

## Other

- **Enumeration date:** 05/17/2011
- **Last updated:** 05/17/2011