Individual
JAMES A GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4060 4TH AVE SUITE 410, SAN DIEGO, CA 92103
(619) 298-7109
(619) 298-8466
Mailing address
4060 4TH AVE SUITE 410, SAN DIEGO, CA 92103
(619) 298-7109
(619) 298-8466
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C26905
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C26905
—
CA
Enumeration date
10/18/2006
Last updated
07/08/2007
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