Glen Grayman, M.D., Inc.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

G29724 Issued in CA

Legal business name

GLEN GRAYMAN, M.D., INC.

Practice address

35012 Mission Hills Dr
Rancho Mirage, CA 92270-1305

Phone

(760) 954-4030

Fax

(760) 406-5611

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Glen Grayman, M.D.

Title

President

Phone

(760) 954-4030

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1922178094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35012 MISSION HILLS DR",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701305",
            "telephone_number": "760-954-4030",
            "fax_number": "760-406-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35012 MISSION HILLS DR",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701305",
            "telephone_number": "760-954-4030",
            "fax_number": "760-406-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN GRAYMAN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "GRAYMAN",
        "authorized_official_first_name": "GLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-954-4030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G29724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hannah P. Glenn, PA-C
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• Emergency Medicine Physician in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; 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.