Organization
PHILIP A GROSSI, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP A GROSSI M.D. (PSYCHIATRIST)
(409) 559-8000
Entity
Organization
Contact information
Practice address
3425 S BASCOM AVE, SUITE C, CAMPBELL, CA 95008-7300
(408) 559-9300
Mailing address
3425 S BASCOM AVE, SUITE C, CAMPBELL, CA 95008
(408) 559-9300
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
G 12389
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G 12389
NPI 1629110713
CA
Enumeration date
11/21/2014
Last updated
11/21/2014
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