Individual
TIFFANY BETH GRUNWALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MSED
Contact information
Practice address
1301 20TH ST, SUITE 430, SANTA MONICA, CA 90404-2050
(310) 828-4646
(310) 828-3939
Mailing address
1301 20TH ST, SUITE 430, SANTA MONICA, CA 90404-2050
(310) 828-4646
(310) 828-3939
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
A75509
CA
Other
Enumeration date
07/10/2007
Last updated
01/13/2014
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