Organization
JAMES SANTIAGO GRISOLIA, M.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES SANTIAGO GRISOLIA M.D. (PRESENT)
(619) 297-1155
Entity
Organization
Contact information
Practice address
4033 3RD AVE STE 204, SAN DIEGO, CA 92103-2130
(619) 297-1155
Mailing address
4033 3RD AVE STE 204, SAN DIEGO, CA 92103-2130
(619) 297-1155
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G42884
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G428840
—
CA
Enumeration date
01/31/2007
Last updated
03/26/2025
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