Individual provider · Type 1 NPI

William Robert Grandolfo, MD

Diagnostic Radiology Physician · Fountain Valley, CA

NPI number 1649596479 Active

Practice location

17330 Brookhurst Street, Suite 315
Fountain Valley, CA 92708

Call (714) 377-3198 Map

Fax (714) 377-3198

Mailing address

P.o. Box 20890
Fountain Valley, CA 92728-0890

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XG13336 (CA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1649596479

William Robert Grandolfo, MD's National Provider Identifier is 1649596479, issued on Apr 19, 2010. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Fountain Valley, CA. The record was last updated on Apr 19, 2010.