Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | G37514 | CA |
N | 207U00000X | Nuclear Medicine Specialist | G37514 | CA |
NPI | 1265472849 |
---|---|
Provider Name | Maleah Grover |
First Address | Santa Ana, CA 92705-3611 |
Second Address | Santa Ana, CA 92705-3611 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2006 |
Last Update Date | 24/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D90045 | (02) | |
GR0095890 | (05) | CA |