Individual
CHARLES GRINBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13802 NW PASSAGE APT 201, MARINA DEL REY, CA 90292-7480
(310) 729-1947
Mailing address
13802 NW PASSAGE APT 201, MARINA DEL REY, CA 90292-7480
(310) 729-1947
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
172V00000X
CA
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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