Individual
EMILY WYATT GRIGSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
17772 BEACH BLVD, HUNTINGTON BEACH, CA 92647-6819
(714) 843-5059
(714) 375-7690
Mailing address
701 WELCH RD, BLDG C, PALO ALTO, CA 94304-1709
(650) 723-9215
(650) 723-0121
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
95839
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861524415
—
CA
Enumeration date
03/09/2007
Last updated
12/07/2017
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