Individual
ANDREW GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6955 FOOTHILL BLVD STE 200, OAKLAND, CA 94605-2426
(510) 437-8500
Mailing address
6955 FOOTHILL BLVD STE 200, OAKLAND, CA 94605-2426
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A194778
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RES000
—
CA
Enumeration date
04/03/2020
Last updated
11/26/2024
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