Individual
JESS J GRANADOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1020 PICO BLVD, SANTA MONICA, CA 90405-1416
(310) 314-6200
(310) 452-2024
Mailing address
909 PICO BLVD, SANTA MONICA, CA 90405-1326
(310) 314-6200
(310) 450-2024
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/27/2017
Last updated
10/27/2017
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