Tiffany Beth Grunwald, MD, MSED Valid NPI

Individual provider · Plastic and Reconstructive Surgery Physician · Santa Monica, CA

NPI

1164620100

Type

Individual (Type 1)

Primary specialty

Plastic and Reconstructive Surgery Physician (Surgery)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

2086S0122X

License number

A75509 (CA)

Sex

Female

Sole proprietor

Yes

Enumerated

2007-07-10

Last updated

2014-01-13