Individual
GERALD GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
935 S SUNSET AVE, WEST COVINA, CA 91790-3408
(323) 932-5301
Mailing address
935 S SUNSET AVE, WEST COVINA, CA 91790-3408
(805) 522-5940
(805) 522-6401
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G22345
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G22345
—
CA
Enumeration date
05/04/2006
Last updated
08/03/2017
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