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Dr. Michael Grossman, MD
Diagnostic Radiology Physician in Covina, California
NPI 1790713519

Michael Grossman is a Diagnostic Radiology Physician based in Glendora, CA and is specialized in Diagnostic Radiology. Michael Grossman practices in Covina, CA and has the professional credentials of MD. The NPI Number for Michael Grossman is 1790713519 and holds a License No. A22902 (California).

The current practice location address for Michael Grossman is 414 E San Bernardino Rd, Covina, CA and can be reached out via phone at 626-915-5181.

Location: 414 E San Bernardino Rd, Covina, CA, 91740-0735
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790713519
Provider Name
Michael Grossman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
414 E San Bernardino Rd, Covina, CA, 91740-0735
Phone Number
626-915-5181
Fax Number
Provider Enumeration Date
06/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A229020 05 CA
A22902 01 CA STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
414 E San Bernardino Rd
City
Covina
State
California
Zip
91723-1704
Phone Number
626-915-5181
Fax Number
person
Provider Business Mailing Address Details
Address
414 E San Bernardino Rd
City
Covina
State
California
Zip
91723-1704
Phone Number
626-915-5181
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
A22902 (California)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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