Organization
GERALD R. GROSSMAN, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD R GROSSMAN MD (OWNER)
(310) 739-2491
Entity
Organization
Contact information
Practice address
935 S SUNSET AVE, WEST COVINA, CA 91790-3408
(626) 888-7814
Mailing address
935 S SUNSET AVE, WEST COVINA, CA 91790-3408
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
07/20/2017
Last updated
07/20/2017
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