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MORRIS TOBIAS GRABIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1301 20TH ST STE 200, SANTA MONICA, CA 90404-2088
(310) 829-3639
(310) 453-4167
Mailing address
1301 20TH ST STE 200, SANTA MONICA, CA 90404-2088
(310) 829-3639
(310) 453-4167

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G34196
CA
207RN0300X
Nephrology Physician
Primary
G34196
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00G341960
MEDICAL PPIN #
CA
05
00G341960
CA
05
GR0063610
CA
01
ZZZ24192Z
BLUE SHIELD
CA
Enumeration date
07/17/2006
Last updated
03/12/2008
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