Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | G64014 | CA |
NPI | 1144228180 |
---|---|
Provider Name | Dr. Harlan Robert Grogin |
First Address | Salinas, CA 93901-3901 |
Second Address | Salinas, CA 93901-3901 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2005 |
Last Update Date | 07/11/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G640140 | (05) | CA |
060041807 | RAILROAD MEDICARE SVMH READING (01) | CA |
110116226 | RAILROAD MEDICARE CCC (01) | CA |
F18003 | (02) | CA |
G00064014 | BLUE CROSS (01) | CA |