Organization
WAYNE S. GRADMAN, MD INC
Active
Other names
BEVERLY HILLS VEINS CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE STUART GRADMAN M.D. (PRESIDENT)
(310) 277-4868
Entity
Organization
Contact information
Practice address
2080 CENTURY PARK E, SUITE #803, LOS ANGELES, CA 90067-2001
(310) 277-4868
(310) 277-4869
Mailing address
2080 CENTURY PARK E, SUITE #803, LOS ANGELES, CA 90067-2001
(310) 277-4868
(310) 277-4869
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
G17696
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0040310
—
CA
Enumeration date
01/25/2008
Last updated
03/25/2013
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