Individual provider · Type 1 NPI

Tracy Cannon Grikscheit, MD

Pediatric Surgery Physician · Los Angeles, CA

NPI number 1780777425 Active

Practice location

4650 Sunset Blvd., MS# 100
Los Angeles, CA 90027-6062

Call (323) 669-2322 Map

Fax (323) 666-3466

Mailing address

6430 Sunset Blvd., Suite 600
Los Angeles, CA 90028-7900

Specialties and licenses

TaxonomyCodeLicense
Pediatric Surgery Physician Primary 2086S0120XA96712 (CA)

Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

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About NPI 1780777425

Tracy Cannon Grikscheit, MD's National Provider Identifier is 1780777425, issued on Oct 2, 2006. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in Los Angeles, CA. The record was last updated on May 30, 2019.