Organization
PEARL E. GRIMES MD, INC.
Active
Organization
PEARL E. GRIMES MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESTELA SEGURA (OFFICE MANAGER)
(323) 467-4389
Entity
Organization
Contact information
Practice address
5670 WILSHIRE BLVD STE 650, LOS ANGELES, CA 90036-5609
(323) 467-4389
(323) 467-4488
Mailing address
5670 WILSHIRE BLVD STE 650, LOS ANGELES, CA 90036-5609
(323) 467-4389
(323) 467-4488
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G51930
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790702751
OTHER
CA
Enumeration date
02/12/2018
Last updated
02/12/2018
Update your record
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