Individual
JOHN P GROBLEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1711 W TEMPLE ST, LOS ANGELES, CA 90026-5421
(213) 989-6100
Mailing address
PO BOX 5486, ORANGE, CA 92863-5486
(818) 550-0900
(505) 293-1524
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2490
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2490
STATE LICENSE NUMBER
CA
Enumeration date
05/16/2006
Last updated
12/02/2021
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