Steven R. Grossman, MD
Internal Medicine, Medical Oncology in Los Angeles, CA. Individual provider (NPI-1).
NPI number1790768638
StatusActive
Last updated in NPPESAug 14, 2021
Details
- NPI
- 1790768638
- Entity type
- Individual (NPI-1)
- Name
- Steven R. Grossman
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 23, 2005
- Certification date
- Aug 14, 2021
- Last updated
- Aug 14, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RX0202X | Internal Medicine, Medical Oncology | G171199 | CA | Yes |
| 207RX0202X | Internal Medicine, Medical Oncology | 0101250426 | VA |
Practice location
1441 Eastlake AveLos Angeles, CA 90089-5051
Phone 323-865-0862
Mailing address
Po Box 31309Los Angeles, CA 90031-0309
Phone 323-865-0862
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