Karyn L Grossman in Santa Monica - Dermatology

Karyn L Grossman - NPI 1134259104

Karyn L Grossman is a Dermatology in Santa Monica, California. Karyn L Grossman practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Karyn L Grossman is 1134259104. The last update date is 2022-07-21.

Karyn L Grossman's current location address is 2001 Santa Monica Blvd., Santa Monica, California. You can contact this provider via phone number 3109980040 and fax number 3109980024. The mailing address for Karyn L Grossman is 2001 Santa Monica Blvd., Santa Monica, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Karyn L Grossman
Address 2001 Santa Monica Blvd., Santa Monica, California
Phone Number 3109980040
Fax Number 3109980024
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1134259104
Provider Enumeration Date 2007-03-07
Last Updated Date 2022-07-21

Provider Mailing Address Detail

Address 2001 Santa Monica Blvd.
City Santa Monica
State California (CA)
Post Code 904042217
Phone Number 3109980040
Fax Number 3109980024

Provider's Primary Taxonomy Detail

Speciality Dermatology
Taxonomy 207N00000X
Licence No G084212
Definition:
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
199318 NY STATE MEDICAL LICENSE
G84212 CA STATE MEDICAL LICENSE
74551 MA STATE MEDICAL LICENSE

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FAQs about Karyn L Grossman

What is the unique 10-digit identifier code assigned to Karyn L Grossman by the Centers for Medicare & Medicaid Services?

The Karyn L Grossman has been issued the NPI (National Provider Identifier) 1134259104 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Karyn L Grossman's facilities are situated?

The facilities of Karyn L Grossman are physically located at the following address: 2001 Santa Monica Blvd., Santa Monica, CA, 904042217.

What is Karyn L Grossman's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Karyn L Grossman's specialized field of practice is Dermatology, and the corresponding taxonomy code that categorizes this area of specialization is 207N00000X.

On what date did Karyn L Grossman receive its 1134259104 assignment from the Centers for Medicare & Medicaid Services?

The Karyn L Grossman was assigned its 1134259104 on 2007-03-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Karyn L Grossman most recently updated or revised?

The details related to Karyn L Grossman, including its address, specialty, and other relevant information, were last updated or revised on 2022-07-21.

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