Dr. Tamara Grisales
Obstetrician & Gynecologist Female Pelvic Medicine and Reconstructive Surgeon
14445 Olive View Dr Rm 6b119-H
Sylmar
, California 91342-1437
Dr. Tamara Grisales
Obstetrician & Gynecologist Female Pelvic Medicine and Reconstructive Surgeon
14445 Olive View Dr Rm 6b119-H
Sylmar
, California 91342-1437
(310) 301-8707
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About
Features
Specialties
- Obstetrician & Gynecologist
- Female Pelvic Medicine and Reconstructive Surgeon
Languages spoken
- English
Location
First Address
- Dr. Tamara Grisales
- 5767 W Century Blvd Suite 400
- Los Angeles, CA
- Zip : 90045-5631
- Phone : (310) 301-8707
Second Address
- Dr. Tamara Grisales
- 14445 Olive View Dr Rm 6b119-H
- Sylmar, CA
- Zip : 91342-1437
- Phone : (818) 364-3031
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207V00000X | Obstetrician & Gynecologist | A108105 | CA |
| Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | A108105 | CA |
National Provider Identifier
| NPI | 1063611762 |
|---|---|
| Provider Name | Dr. Tamara Grisales |
| First Address | Los Angeles, CA 90045-5631 |
| Second Address | Sylmar, CA 91342-1437 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/07/2007 |
| Last Update Date | 13/02/2015 |
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.