Individual
DANIEL K GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1328 TWENTY SECOND ST, SANTA MONICA, CA 90404-2091
(310) 582-7089
Mailing address
PO BOX 12079, WESTMINSTER, CA 92685-3852
(562) 809-3595
(562) 468-0347
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G67384
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G673840
—
CA
Enumeration date
04/26/2006
Last updated
09/14/2010
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