Individual
MR. FREDERIC GRANNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 E DUARTE RD, DUARTE, CA 91010
(626) 359-8111
Mailing address
1333 S. MAYFLOWER AVE., 2ND FLOOR, MONROVIA, CA 91016-4066
(626) 775-3514
(626) 408-3911
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
G36693
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
G36693
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G386930
—
CA
Enumeration date
08/04/2006
Last updated
08/11/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us