Individual
MICHAEL T GRAMMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
20072 SW BIRCH ST STE 190, NEWPORT BEACH, CA 92660-0799
(949) 235-7735
Mailing address
27762 ANTONIO PKWY L1 #325, LADERA RANCH, CA 92694
(949) 235-7735
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
152871
CA
1710I1002X
Independent Duty Corpsman
Primary
—
—
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
152871
CA
363A00000X
Physician Assistant
—
FL
Other
Enumeration date
01/20/2021
Last updated
02/11/2025
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