Individual
GINA M GRASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1955 CITRACADO PKWY, STE 301, ESCONDIDO, CA 92029-4113
(760) 746-3937
(760) 746-3991
Mailing address
1955 CITRACADO PKWY, STE 301, ESCONDIDO, CA 92029-4113
(760) 746-3937
(760) 746-3991
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT11139T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
WOP11139A
—
CA
Enumeration date
08/15/2006
Last updated
11/21/2022
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