DR. RONALD SELWYN GRUSD M.D. DABR NPI 1164511960

NPI Information

NPI: 1164511960
Provider Name: DR. RONALD SELWYN GRUSD, M.D. DABR
Classification: Radiology - 2085B0100X
Entity Type: Individual

Specialization: Body Imaging

Address:
8641 WILSHIRE BLVD STE 105
BEVERLY HILLS, CA
ZIP 90211
Phone: (310) 289-8678
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DR. Ronald Selwyn Grusd, M.D. DABR is a body imaging radiology in Beverly Hills, CA. The provider is a Radiology doctor of Osteopathy that specializes in Body Imaging. DR. Ronald Selwyn Grusd, M.D. DABR NPI is 1164511960. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8641 WILSHIRE BLVD STE 105
BEVERLY HILLS, CA
ZIP 90211-919
Phone: (310) 289-8678

The enumeration date for this NPI number is 10/12/2006 and was last updated on 8/30/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	A32707	CALIFORNIA	No
2	2085B0100X	Radiology	Body Imaging	A32707	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00A327072	MEDICAID	CALIFORNIA
2	TP022	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA
3	A26901	MEDICARE UPIN	CALIFORNIA
4	ZZZ01724Z	OTHER	CALIFORNIA	MEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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