Most Relevant Information
Provider Data
| NPI Number: | 1003254483 |
| Provider Name: | JUSTIN N GRAMMY DO |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | OS018634 |
Most Important Dates
| Enumeration Date: | 06/07/2013 |
| Last Updated: | 11/17/2021 |
Provider Practice Location
1428 PHILLIPS LN STE 203
SAN LUIS OBISPO
CA
934012551
Practice Location Phone/Fax
| Phone: | 8055434407 |
| Fax: | 8055434587 |
Provider Mailing Location
PO BOX 12460
SAN LUIS OBISPO
CA
934062460
Provider Mailing Phone/Fax
| Phone: | 8055434407 |
| Fax: | 8055434587 |
Suggested EMR
Internist EMR