Dr. Paul Charles Grimm
Pediatric Nephrologist
300 Pasteur Dr G306, Mc5208
Stanford
, California 94305-2200
Dr. Paul Charles Grimm
Pediatric Nephrologist
300 Pasteur Dr G306, Mc5208
Stanford
, California 94305-2200
(650) 498-6714
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About
Features
Specialties
- Pediatric Nephrologist
Languages spoken
- English
Location
First Address
- Dr. Paul Charles Grimm
- 300 Pasteur Dr G306, Mc5208
- Stanford, CA
- Zip : 94305-2200
- Fax : (650) 498-6714
- Phone : (650) 723-7903
Second Address
- Dr. Paul Charles Grimm
- 300 Pasteur Dr G306, Mc5208
- Stanford, CA
- Zip : 94305-2200
- Fax : (650) 498-6714
- Phone : (650) 723-7903
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0210X | Pediatric Nephrologist | A44616 | CA |
National Provider Identifier
| NPI | 1184705386 |
|---|---|
| Provider Name | Dr. Paul Charles Grimm |
| First Address | Stanford, CA 94305-2200 |
| Second Address | Stanford, CA 94305-2200 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/10/2006 |
| Last Update Date | 08/11/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00A446160 | MEDI-CAL PROVIDER (01) | CA |
| A44616 | CALIFORNIA MEDICAL LICENS (01) | CA |
| G83745 | (02) | 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.