Organization
MARSHALL L. GRODE, M.D A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHALL L. GRODE M.D. (PRESIDENT)
(310) 423-6789
Entity
Organization
Contact information
Practice address
444 S SAN VICENTE BLVD, SUITE 800, LOS ANGELES, CA 90048-4165
(310) 423-6789
(310) 423-9253
Mailing address
444 S SAN VICENTE BLVD, SUITE 800, LOS ANGELES, CA 90048-4165
(310) 423-6789
(310) 423-9253
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
G11754
CA
Other
Enumeration date
01/17/2007
Last updated
04/06/2011
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