Search › California › 106H00000X
Phyllis Grismore
NPI 1548830953 · on the registry since 2021
Practice
- Address
- 4000 Macarthur Blvd # Tower600
Newport Beach, CA 92660 - Phone
- (714) 743-5612
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Also registered as
- 106H00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-12-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California