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Individual

DR. IRMINA GRADUS-PIZLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 880-7812
Mailing address
200 S MANCHESTER AVE STE 300, ORANGE, CA 92868-3219
(714) 456-2986

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01044711
IN
207RC0000X
Cardiovascular Disease Physician
Primary
C150958
CA
207RC0001X
Clinical Cardiac Electrophysiology Physician
01044711A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01044711A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060066285
RAILROAD MEDICARE
IN
05
200011370
IN
Enumeration date
04/17/2006
Last updated
12/22/2022
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