DR. PAUL JOHN GRODAN M.D. NPI 1861500662

NPI Information

NPI: 1861500662
Provider Name: DR. PAUL JOHN GRODAN, M.D.
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

PECOS Registration: Yes

Address:
150 N ROBERTSON BLVD
SUITE 211
BEVERLY HILLS, CA
ZIP 90211
Phone: (310) 854-0100
Get Directions

DR. Paul John Grodan, M.D. is a cardiovascular disease internal medicine in Beverly Hills, CA with 51 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Paul John Grodan, M.D. NPI is 1861500662. 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:

150 N ROBERTSON BLVD
SUITE 211
BEVERLY HILLS, CA
ZIP 90211-142
Phone: (310) 854-0100
Fax: (310) 659-3297

The NPI 1861500662 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/29/2006 and was last updated on 7/9/2007.

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	207RC0000X	Internal Medicine	Cardiovascular Disease	G30279	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	G30279	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	MEDICARE ID
2	A44357	MEDICARE UPIN	CALIFORNIA
3	00G302790	MEDICAID	CALIFORNIA

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

NPI Synchronization or Removal

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