Organization
JEFFREY NATHAN GRANT,M.D. A MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY JNATHAN GRANT M.D. (PRESIDENT)
(310) 659-4511
Entity
Organization
Contact information
Practice address
8733 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1827
(310) 659-4511
(310) 659-1520
Mailing address
8733 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1827
(310) 659-4511
(310) 659-1520
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
A24260
CA
Other
Enumeration date
05/17/2011
Last updated
05/17/2011
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