Philip Gruskin MD Inc

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

C31451 Issued in CA

Legal business name

PHILIP GRUSKIN MD INC

Practice address

3015 Via Buena
Palos Verdes Estates, CA 90274-4419

Phone

(310) 541-4485

Fax

(310) 541-4485

NPI assigned

Oct 23, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Philip Gruskin, MD

Title

Pres/Sec'Y

Phone

(310) 541-4485

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1497908339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 VIA BUENA",
            "city": "PALOS VERDES ESTATES",
            "state": "CA",
            "postal_code": "902744419",
            "telephone_number": "310-541-4485",
            "fax_number": "310-541-4485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 VIA BUENA",
            "city": "PALOS VERDES ESTATES",
            "state": "CA",
            "postal_code": "902744419",
            "telephone_number": "310-541-4485",
            "fax_number": "310-541-4485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP GRUSKIN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-23",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "GRUSKIN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "PRES/SEC'Y",
        "authorized_official_telephone_number": "310-541-4485",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "C31451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anatomic Pathology & Clinical Pathology Physician in Palos Verdes Estates, CA
• Providers in Palos Verdes Estates, CA by specialty
• Anatomic Pathology & Clinical Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.