Basic Information
| Provider Information | |||||||||
| NPI: | 1376644526 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SCHROFF | ||||||||
| FirstName: | GREGORY | ||||||||
| MiddleName: | W | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1721 PABLO PLACE | ||||||||
| Address2: | |||||||||
| City: | PALOS VERDES ESTATES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 902741210 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3109911119 | ||||||||
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| Practice Location | |||||||||
| Address1: | 23500 MADISON | ||||||||
| Address2: | |||||||||
| City: | TORRANCE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 905054702 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3107842710 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/26/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | G51938 | CA | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.