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Contact Information

TAMARA GRISALES, MD
200 UCLA MEDICAL PLZ STE 140
LOS ANGELES, CA90095-1437
 Phone: 310-794-7274
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Urogynecology and Reconstructive Pelvic Surgery

207VF0040X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for TAMARA GRISALES · (Female)

NPI Number 1063611762
Status Active
Credentials MD
Entity Individual
Enumeration date 07/12/2007
Last updated 10/15/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • CA License # A108105
Hospital affiliation(s)
  • RONALD REAGAN UCLA MEDICAL CENTER - (Acute Care)
    757 WESTWOOD PLAZA
    LOS ANGELES, CA 90095
  • SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL - (Acute Care)
    1250 16TH STREET
    SANTA MONICA, CA 90404
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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