location
search-icon
institution
Ellsworth Grant, M.d., Medical Corp
Hematology & Oncology Physician in Los Angeles, California
NPI 1538247424

Ellsworth Grant, M.d., Medical Corp is a Hematology & Oncology Physician based in Los Angeles, CA and is specialized in Hematology & Oncology. Ellsworth Grant, M.d., Medical Corp practices in Los Angeles, CA. The NPI Number for Ellsworth Grant, M.d., Medical Corp is 1538247424 and holds a License No. G073084 (California).

The current practice location address for Ellsworth Grant, M.d., Medical Corp is 1245 Wilshire Blvd, Los Angeles, CA and can be reached out via phone at 213-481-3948 and via fax at 213-481-1697.

Location: 1245 Wilshire Blvd, Los Angeles, CA, 90017-4810
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538247424
Provider Name
Ellsworth Grant, M.d., Medical Corp
Credential
Provider Entity Type
Organization
Address
1245 Wilshire Blvd, Los Angeles, CA, 90017-4810
Phone Number
213-481-3948
Fax Number
213-481-1697
Provider Enumeration Date
11/01/2006
Last Update Date
02/15/2025
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
00G730842 05 CA
G073084 01 CA CALIFORNIA STATE LICENSE
00G730841 05 CA
AY691 01 CA MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
1245 Wilshire Blvd
City
Los Angeles
State
California
Zip
90017-4810
Phone Number
213-481-3948
Fax Number
213-481-1697
person
Provider Business Mailing Address Details
Address
1245 Wilshire Blvd
City
Los Angeles
State
California
Zip
90017-4810
Phone Number
213-481-3948
Fax Number
213-481-1697
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
G073084 (California)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.