Sophia R Grant
MD | Pediatrics | Female
Sophia R Grant, MD is a Moreno Valley, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Sophia R Grant is
26520 Cactus Ave, Moreno Valley, California - 92555-3927. She can be contacted on phone at
951-486-4345 and fax number 951-486-4330.
Sophia R Grant is a sole proprietor of her business.
NPI number (Unique professional ID) for Sophia R Grant is
1841215613 which was assigned by NPPES on 13 Jul, 2006 and it was last updated on 07 Jun, 2021.
Sophia R Grant license number is
A66209 for Pediatrics (208000000X) in California.
Sophia R Grant is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Sophia R Grant basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Sophia R Grant |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Sophia R Grant address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 26520 Cactus Ave
Moreno Valley, CA, 92555-3927
United States |
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| Phone Number : | 951-486-4345 |
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| Fax Number : | 951-486-4330 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1841215613 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 13 Jul, 2006 |
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| Last Updated On : | 07 Jun, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Sophia R Grant are as mentioned. Primary taxonomy code for Sophia R Grant, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207P00000X | Emergency Medicine | No | A66209 | CA |
| 207PP0204X | Emergency Medicine Pediatric Emergency Medicine | No | N6326 | TX |
| 208000000X | Pediatrics | No | 24883 | OK |
| 2080C0008X | Pediatrics Child Abuse Pediatrics | No | A66209 | CA |
| 208000000X | Pediatrics | Yes | A66209 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Sophia R Grant such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 213341504 | Other | TX | CSHCN |
| 213341503 | MEDICAID | TX | |
| 200089650A | MEDICAID | OK | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 26520 Cactus Ave
Moreno Valley, CA, 92555-3927
United States |
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| Phone Number : | 951-486-4345 |
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| Fax Number : | 951-486-4330 |
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Business Location:
Patients can refer following map for directions to
Sophia R Grant practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.