Kenneth Grudko in La Jolla - Pulmonary Disease
Kenneth Grudko - NPI 1164522199
Kenneth Grudko is a Pulmonary Disease in La Jolla, California. Kenneth Grudko practices all healthcare services and medical treatments related to Pulmonary Disease. The NPI Number for Kenneth Grudko is 1164522199. The last update date is 2009-06-25.
Kenneth Grudko's current location address is 10666 N Torrey Pines Rd, La Jolla, California. You can contact this provider via phone number 8585548860. The mailing address for Kenneth Grudko is 10666 N Torrey Pines Rd, La Jolla, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Grudko |
|---|---|
| Address | 10666 N Torrey Pines Rd, La Jolla, California |
| Phone Number | 8585548860 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1164522199 |
|---|---|
| Provider Enumeration Date | 2006-09-22 |
| Last Updated Date | 2009-06-25 |
Provider Mailing Address Detail
| Address | 10666 N Torrey Pines Rd |
|---|---|
| City | La Jolla |
| State | California (CA) |
| Post Code | 920371027 |
| Phone Number | 8585548860 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pulmonary Disease |
|---|---|
| Taxonomy | 207Rp1001X |
| Licence No | G80633 |
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Definition: An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G806330 | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kenneth Grudko by the Centers for Medicare & Medicaid Services (CMS)?
The Kenneth Grudko has been assigned the NPI (National Provider Identifier) 1164522199. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Kenneth Grudko's facilities are geographically located?
The facilities of Kenneth Grudko are physically situated at the following location: 10666 N Torrey Pines Rd, La Jolla, CA, 920371027.
What is the Kenneth Grudko's specialty and taxonomy code?
The Kenneth Grudko's specialty is Pulmonary Disease, and the corresponding taxonomy code is 207Rp1001X.
On what date did the Kenneth Grudko receive the assignment of its 1164522199 from the Centers for Medicare & Medicaid Services?
The Kenneth Grudko was issued its 1164522199 by the Centers for Medicare & Medicaid Services on 2006-09-22.
When was the Kenneth Grudko's information last updated?
The Kenneth Grudko's information was last updated on 2009-06-25.