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Organization

EDWIN GROMIS M.D. A PROF CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EDWIN GROMIS (PRESIDENT)
(310) 273-9626
Entity
Organization

Contact information

Practice address
1122 S. ROBERTSON BLVD SUITE 1, LOS ANGELES, CA 90035
(310) 273-9626
Mailing address
1122 S. ROBERTSON BLVD SUITE 1, LOS ANGELES, CA 90035

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A31873
CA

Other

Enumeration date
08/06/2014
Last updated
08/06/2014
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