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Individual

DR. SERGEI GRANDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, PHD, DSCI

Contact information

Practice address
15374 ALTON PKWY, IRVINE, CA 92618-2362
(949) 552-4211
Mailing address
15507 ORCHID AVE, TUSTIN, CA 92782-1933
(949) 552-4211

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A61043
CA

Other

Enumeration date
05/09/2006
Last updated
12/23/2008
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