Organization
GARY GRINBERG, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY GRINBERG M.D. (PRESIDENT)
(916) 568-5551
Entity
Organization
Contact information
Practice address
800 HOWE AVE, SUITE 300, SACRAMENTO, CA 95825-3911
(916) 568-5551
(916) 568-5575
Mailing address
800 HOWE AVE, SUITE 300, SACRAMENTO, CA 95825-3911
(916) 568-5551
(916) 568-5575
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A100593
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A100593
CA STATE LICENSE
CA
Enumeration date
09/08/2008
Last updated
09/09/2011
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