Individual
MR. BRIAN MICHAEL GRIMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
520 W PALMDALE BLVD STE V, PALMDALE, CA 93551-4231
(661) 361-9380
Mailing address
520 W PALMDALE BLVD STE V, PALMDALE, CA 93551-4231
(661) 361-9380
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A91113
CA
Other
Enumeration date
05/27/2006
Last updated
09/20/2007
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