Individual
MRS. MARIA PIA GRANT-TEJADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 UCLA MEDICAL PLZ STE B200, LOS ANGELES, CA 90095-0001
(310) 794-1195
Mailing address
5767 W CENTURY BLVD SUITE 400, LOS ANGELES, CA 90095-5631
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
19656
PR
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
A156650
CA
390200000X
Student in an Organized Health Care Education/Training Program
156650
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/25/2014
Last updated
07/23/2021
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