NPI: 1538247424
Provider Name: ELLSWORTH GRANT, M.D., MEDICAL CORP
Other Name: ELLSWORTH R. GRANT, M.D.
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization
Specialization: Hematology & Oncology
Address:
1245 WILSHIRE BLVD
SUITE 801
LOS ANGELES, CA
ZIP 90017
Phone: (213) 481-3948
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ELLSWORTH GRANT, M.D., MEDICAL CORP is a hematology and oncology internal medicine in Los Angeles, CA. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. ELLSWORTH GRANT, M.D., MEDICAL CORP NPI is 1538247424. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Ellsworth R. Grant, M.d..
The provider's business location address is:
1245 WILSHIRE BLVD
SUITE 801
LOS ANGELES, CA
ZIP 90017-810
Phone: (213) 481-3948
Fax: (213) 481-1697
The provider's authorized official is Elizabeth C Ventura .
The authorized official title is Office Manager and has the following contact phone number (213) 481-3948.
The enumeration date for this NPI number is 11/1/2006 and was last updated on 6/21/2018.