Organization
RONALD S. GRUSD, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN HUPPERT (COLLECTIONS MANAGER)
(310) 289-8678
Entity
Organization
Contact information
Practice address
8641 WILSHIRE BLVD, 105, BEVERLY HILLS, CA 90211-2900
(310) 289-8678
Mailing address
8641 WILSHIRE BLVD, 105, BEVERLY HILLS, CA 90211-2900
(310) 289-8678
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
CA
261QR0208X
Mobile Radiology Clinic/Center
—
CA
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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