Organization
TIFFANY B GRUNWALD, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY B GRUNWALD M.D. (PRESIDENT)
(310) 828-4646
Entity
Organization
Contact information
Practice address
1301 20TH ST, SUITE 430, SANTA MONICA, CA 90404-2050
(310) 828-4646
(310) 828-3939
Mailing address
1301 20TH ST, SUITE 430, SANTA MONICA, CA 90404-2050
(310) 828-4646
(310) 828-3939
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
08/05/2007
Last updated
06/23/2011
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