Grossman, Karyn L
Grossman, Karyn L is an sole proprietor health care provider with primary practice located at 2001 Santa Monica Blvd Ste 1250W , Santa Monica CA 90404-2217. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Procedural Dermatology is her primary health care specialty. Grossman, Karyn L can be contacted via phone (310) 998-0040.Contact Information
Primary practice address
2001 Santa Monica Blvd Ste 1250W
Santa Monica CA 90404-2217
Phone: (310) 998-0040
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | G084212 | California |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 199318 | New York |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | G084212 | California |
Profile Details
| NPI number | 1134259104 |
|---|---|
| LBN Legal business name | Grossman, Karyn L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 7th, 2007 |
| Last updated | Jul 21st, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134259104 | NPPES |
| New York | Other | 199318 | STATE MEDICAL LICENSE |
| New York | Other | G84212 | STATE MEDICAL LICENSE |
| New York | Other | 74551 | STATE MEDICAL LICENSE |
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