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Individual

GARY G GRINBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
800 HOWE AVE, SUITE 300, SACRAMENTO, CA 95825-3911
(916) 568-5551
(916) 568-5575
Mailing address
1800 HARRISON ST 7TH FL, OAKLAND, CA 94612-3466
(510) 625-2856
(877) 738-4262

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
45723
MN
208600000X
Surgery Physician
Primary
A100593
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
567430100
MN
01
A100593
CA STATE LICENSE
CA
Enumeration date
02/20/2006
Last updated
02/11/2022
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