J. Gary Grant, Md, Inc. | |
830 Bayview Ave Pacific Grove CA 93950-2511 | |
(831) 373-2322 | |
Not Available |
Full Name | J. Gary Grant, Md, Inc. |
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Speciality | Internal Medicine |
Location | 830 Bayview Ave, Pacific Grove, California |
Authorized Official Name and Position | James Gary Grant (PRESIDENT) |
Authorized Official Contact | 8313732322 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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J. Gary Grant, Md, Inc. 830 Bayview Ave Pacific Grove CA 93950-2511 Ph: (831) 373-2322 | J. Gary Grant, Md, Inc. 830 Bayview Ave Pacific Grove CA 93950-2511 Ph: (831) 373-2322 |
NPI Number | 1053427013 |
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Provider Enumeration Date | 08/22/2006 |
Last Update Date | 10/25/2021 |
Medicare PECOS PAC ID | 0143321216 |
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Medicare Enrollment ID | O20070719000834 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053427013 | NPI | - | NPPES |
00G387830 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | G83783 (California) | Primary |
Provider Name | James Gary Grant |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1578665535 PECOS PAC ID: 9830195635 Enrollment ID: I20061019000188 |
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