Individual provider · NPI-1

Dr. Daniel Mark Gromis, MD

Emergency Medicine · Costa Mesa, CA

NPI number1487883146
StatusActive
Last updated in NPPESJun 13, 2016

Details

NPI
1487883146
Entity type
Individual (NPI-1)
Name
Dr. Daniel Mark Gromis
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jul 2, 2009
Last updated
Jun 13, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency MedicineA120000CAYes

Practice location

217 Rochester St
Unit B
Costa Mesa, CA 92627-3181

Phone 949-466-2177

Mailing address

217 Rochester St
Unit B
Costa Mesa, CA 92627-3181

Phone 949-466-2177

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