Organization
GRABOW MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KIM CAO (PRACTICE MANAGER)
(714) 242-4224
Entity
Organization
Contact information
Practice address
400 N TUSTIN AVE, SUITE 470, SANTA ANA, CA 92705-3813
(714) 242-4224
(714) 380-6300
Mailing address
DEPT LA 23881, PASADENA, CA 91185-0001
(714) 242-4224
(714) 380-6300
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
G66481
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629089529
PHYSICIAN'S NPI
CA
01
—
616223700 SANTA ANA
US DEPARTMENT OF LABOR PROVIDER #
CA
01
—
G66481
MEDICAL LICENSE
CA
Enumeration date
01/31/2011
Last updated
07/26/2012
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