<Unavail>

LBN: Wayne S. Gradman, Md Inc
<Unavail> is an health care organization with primary practice located at 2080 Century Park E Suite #803, Los Angeles CA 90067-2001. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as the primary health care specialty. Wayne S. Gradman, Md Inc can be contacted via phone (310) 277-4868, or through Gradman, Wayne Stuart via phone (310) 277-4868.

Contact Information

Primary practice address
2080 Century Park E Suite #803 Los Angeles CA 90067-2001
Phone: (310) 277-4868
Fax: (310) 277-4869
Website:
Map and Directions
Authorized official contact:
Name: Gradman, Wayne Stuart Doctor of Medicine (MD)
Phone: (310) 277-4868

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X G17696 California

Profile Details

NPI number 1487831046
LBN Legal business name Wayne S. Gradman, Md Inc
DBA Doing business as <Unavail>
Authorized official Gradman, Wayne Stuart Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2008
Last updated Mar 25th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487831046 NPPES
California MEDICAID GR0040310

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