Mr Grant Corso, MA is a
Student In An Organized Health Care Education/training Program based in La Jolla, California. Mr Grant Corso is licensed to practice in * (Not Available) (license number ) and his current practice location is
7855 Fay Ave Ste 310, La Jolla, California. He can be reached at his office (for appointments etc.) via phone at
(619) 953-7484.
NPI number for Mr Grant Corso is 1386480085 and his current mailing address is 7855 Fay Ave, La Jolla, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1386480085.
Healthcare Provider's Profile
Full Name | Mr Grant Corso |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 7855 Fay Ave Ste 310, La Jolla, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1386480085
- Provider Enumeration Date: 07/02/2024
- Last Update Date: 07/02/2024
Medical Identifiers
Medical identifiers for Mr Grant Corso such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386480085 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Grant Corso is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Grant Corso, MA 7855 Fay Ave, La Jolla, CA 92037-4265 Ph: () - | Mr Grant Corso, MA 7855 Fay Ave Ste 310, La Jolla, CA 92037-4280 Ph: (619) 953-7484 |
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