Basic Information
| Provider Information | |||||||||
| NPI: | 1518386416 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GRUBB | ||||||||
| FirstName: | SCOTT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3490 CALIFORNIA ST STE 201 | ||||||||
| Address2: | |||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941181892 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4154402972 | ||||||||
| FaxNumber: | 4154404893 | ||||||||
| Practice Location | |||||||||
| Address1: | 3555 CESAR CHAVEZ | ||||||||
| Address2: | |||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941104403 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4154402972 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/08/2014 | ||||||||
| LastUpdateDate: | 08/16/2019 | ||||||||
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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 | A140924 | CA | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.