Dr. Marshall Grode
Neurosurgeon
444 S San Vicente Blvd Suite 800
Los Angeles
, California 90048-4165
Dr. Marshall Grode
Neurosurgeon
444 S San Vicente Blvd Suite 800
Los Angeles
, California 90048-4165
(310) 423-9253
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About
Features
Specialties
- Neurosurgeon
Languages spoken
- English
Location
First Address
- Dr. Marshall Grode
- 444 S San Vicente Blvd Suite 800
- Los Angeles, CA
- Zip : 90048-4165
- Fax : (310) 423-9253
- Phone : (310) 423-6789
Second Address
- Dr. Marshall Grode
- 444 S San Vicente Blvd Suite 800
- Los Angeles, CA
- Zip : 90048-4165
- Fax : (310) 423-9253
- Phone : (310) 423-6789
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207T00000X | Neurosurgeon | G11754 | CA |
National Provider Identifier
| NPI | 1114946860 |
|---|---|
| Provider Name | Dr. Marshall Grode |
| First Address | Los Angeles, CA 90048-4165 |
| Second Address | Los Angeles, CA 90048-4165 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/07/2006 |
| Last Update Date | 19/10/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00G117540 | (05) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.