Individual
DR. DANIEL LAWRENCE GRAMINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
VETERANS ADMINISTRATION MEDICAL CTR, 3350 LA JOLLA VILLAGE DRIVE (112J), SAN DIEGO, CA 92161-8892
(858) 552-8585
(858) 552-7530
Mailing address
VETERANS ADMINISTRATION MEDICAL CTR, 3350 LA JOLLA VILLAGE DRIVE (112J), SAN DIEGO, CA 92161-8892
(858) 552-8585
(858) 552-7530
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
G79711
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G797110
BLUE SHIELD OF CA
—
05
—
00G797110
—
CA
Enumeration date
02/13/2006
Last updated
10/20/2014
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