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Tracy Cannon Grikscheit, MD
Pediatric Surgery Physician in Los Angeles, California
NPI 1780777425

Tracy Cannon Grikscheit is a Pediatric Surgery Physician based in Los Angeles, CA and is specialized in Pediatric Surgery. Tracy Cannon Grikscheit practices in Los Angeles, CA and has the professional credentials of MD. The NPI Number for Tracy Cannon Grikscheit is 1780777425 and holds a License No. A96712 (California).

The current practice location address for Tracy Cannon Grikscheit is 4650 Sunset Blvd., Los Angeles, CA and can be reached out via phone at 323-669-2322 and via fax at 323-666-3466.

Location: 4650 Sunset Blvd., Los Angeles, CA, 90028-7900
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780777425
Provider Name
Tracy Cannon Grikscheit
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
4650 Sunset Blvd., Los Angeles, CA, 90028-7900
Phone Number
323-669-2322
Fax Number
323-666-3466
Provider Enumeration Date
10/02/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4650 Sunset Blvd.
City
Los Angeles
State
California
Zip
90027-6062
Phone Number
323-669-2322
Fax Number
323-666-3466
person
Provider Business Mailing Address Details
Address
4650 Sunset Blvd.
City
Los Angeles
State
California
Zip
90027-6062
Phone Number
323-669-2322
Fax Number
323-666-3466
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Pediatric Surgery
Taxonomy
2086S0120X
License No.
A96712 (California)
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
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