Individual
DR. PEARL GRIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5670 WILSHIRE BLVD, SUITE 650, LOS ANGELES, CA 90036-5679
(323) 467-4389
(323) 467-4488
Mailing address
5670 WILSHIRE BLVD, SUITE 650, LOS ANGELES, CA 90036-5679
(323) 467-4389
(323) 467-4488
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G51930
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G51930
MEDICAL LICENSE
CA
Enumeration date
07/16/2006
Last updated
07/08/2007
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