Individual
JAMES SANTIAGO GRISOLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.INC
Contact information
Practice address
4033 3RD AVE STE 204, SAN DIEGO, CA 92103-2130
(619) 297-1155
Mailing address
4033 3RD AVE, SUITE 410, SAN DIEGO, CA 92103-2117
(619) 297-1155
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G42884
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G428840
—
CA
Enumeration date
04/10/2006
Last updated
03/26/2025
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