Individual
DR. ELLIOTT HENRY GRUMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9451 CORBIN AVE, SUITE 100, NORTHRIDGE, CA 91324-1665
(818) 704-1444
Mailing address
9451 CORBIN AVE, SUITE 100, NORTHRIDGE, CA 91324-1665
(818) 704-1444
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
AG1447463
AZ
2084P0800X
Psychiatry Physician
Primary
G46301
CA
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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