Gruba, Michael J

Gruba, Michael J is an individual health care provider with primary practice located at 3460 E La Palma Ave , Anaheim CA 92806-2020. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Gruba, Michael J can be contacted via phone (714) 644-6450.

Contact Information

Primary practice address
3460 E La Palma Ave Anaheim CA 92806-2020
Phone: (714) 644-6450
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine 2081P0004X 108707 California
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 108707 California

Profile Details

NPI number 1487745808
LBN Legal business name Gruba, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Nov 29th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487745808 NPPES
Minnesota MEDICAID 208980000

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