Individual
CHARLES GRUVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2051 MARENGO ST, LOS ANGELES, CA 90033-1352
(323) 409-1000
Mailing address
813 S ADAMS ST, GLENDALE, CA 91205-2527
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A143979
CA
Other
Enumeration date
05/04/2016
Last updated
06/21/2019
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