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Dr. Edward Gary Grant, MD
Body Imaging Physician in Los Angeles, California
NPI 1063465235

Edward Gary Grant is a Body Imaging Physician based in Los Angeles, CA and is specialized in Body Imaging. Edward Gary Grant practices in Los Angeles, CA and has the professional credentials of MD. The NPI Number for Edward Gary Grant is 1063465235 and holds a License No. G61910 (California).

The current practice location address for Edward Gary Grant is 1500 San Pablo St Fl 2, Los Angeles, CA and can be reached out via phone at 323-442-8541.

Location: 1500 San Pablo St Fl 2, Los Angeles, CA, 90031-0309
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063465235
Provider Name
Edward Gary Grant
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1500 San Pablo St Fl 2, Los Angeles, CA, 90031-0309
Phone Number
323-442-8541
Fax Number
Provider Enumeration Date
05/18/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1500 San Pablo St Fl 2
City
Los Angeles
State
California
Zip
90033-5313
Phone Number
323-442-8541
Fax Number
person
Provider Business Mailing Address Details
Address
1500 San Pablo St Fl 2
City
Los Angeles
State
California
Zip
90033-5313
Phone Number
323-442-8541
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Body Imaging
Taxonomy
2085B0100X
License No.
G61910 (California)
Definition
A Radiology doctor of Osteopathy that specializes in Body Imaging.
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