Individual
CARL MAYER GRUSHKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4650 SUNSET BLVD., MS# 40, LOS ANGELES, CA 90027-6062
(323) 361-2102
(323) 361-1829
Mailing address
6430 SUNSET BLVD., SUITE 600, LOS ANGELES, CA 90028-7900
(323) 361-2337
(323) 361-8491
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
G13885
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G138850
—
CA
01
—
00G138850G07
CALOPTIMA
CA
Enumeration date
10/02/2006
Last updated
05/14/2008
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