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Individual

DR. EDUARDO L GRUNVALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103
(800) 926-8273
(888) 539-8781
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410

Taxonomy

Speciality
Code
Description
License number
State
207RB0002X
Obesity Medicine (Internal Medicine) Physician
Primary
A65336
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A653360
CA
Enumeration date
06/21/2006
Last updated
08/29/2018
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