Organization
DOCTOR CHARLES GRUVER, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES GRUVER MD (PRESIDENT AND CEO)
(818) 415-3827
Entity
Organization
Contact information
Practice address
822 S ROBERTSON BLVD, LOS ANGELES, CA 90035-1613
(310) 651-6937
Mailing address
813 S ADAMS ST, GLENDALE, CA 91205-2527
(818) 415-3827
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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