Organization · Type 2 NPI

Doctor Charles Gruver, Incorporated

Ambulatory Surgical Clinic/Center · Los Angeles, CA

NPI number 1639784978 Active

Practice location

822 S Robertson Blvd
Los Angeles, CA 90035-1613

Mailing address

813 S Adams St
Glendale, CA 91205-2527

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903XNone listed

Ambulatory Surgical Clinic/Center: Definition to come...

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About NPI 1639784978

Doctor Charles Gruver, Incorporated's National Provider Identifier is 1639784978, issued on Sep 14, 2020. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 14, 2020.