Individual
DR. RONALD SELWYN GRUSD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D. DABR
Contact information
Practice address
8641 WILSHIRE BLVD STE 105, BEVERLY HILLS, CA 90211-2919
(310) 289-8678
Mailing address
8641 WILSHIRE BLVD STE 105, BEVERLY HILLS, CA 90211-2919
(310) 289-8678
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
A32707
CA
2085R0202X
Diagnostic Radiology Physician
A32707
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A327072
—
CA
01
—
ZZZ01724Z
MEDICARE PTAN
CA
Enumeration date
10/12/2006
Last updated
08/30/2007
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