Individual provider · Type 1 NPI

Kollin David Grunberg

Specialist · Sacramento, CA

NPI number 1699648048 Active

Practice location

4610 X St
Sacramento, CA 95817-2200

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1699648048

Kollin David Grunberg's National Provider Identifier is 1699648048, issued on Sep 23, 2025. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Sacramento, CA. The record was last updated on Sep 24, 2025.