Individual
DR. EDWARD GARY GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 SAN PABLO ST FL 2, LOS ANGELES, CA 90033-5313
(323) 442-8541
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-8541
(323) 442-8755
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
G61910
CA
Other
Enumeration date
05/18/2006
Last updated
11/27/2023
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