Organization
ALEKSANDR GRINBERG MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEKSANDR GRINBERG M.D. (OWNER)
(415) 286-6530
Entity
Organization
Contact information
Practice address
2320 SUTTER ST, OFFICE 101, SAN FRANCISCO, CA 94115-3038
(415) 771-0700
(415) 928-1311
Mailing address
2320 SUTTER ST, OFFICE 101, SAN FRANCISCO, CA 94115-3038
(415) 771-0700
(415) 928-1311
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
A56467
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9996133
—
CA
Enumeration date
06/04/2012
Last updated
06/04/2012
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