SOPHIA R GRANT MD
Individual Provider (NPI-1)
Active
Pediatrics
Provider Information
- NPI Number
1841215613- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 26520 CACTUS AVE, MORENO VALLEY, CA, 925553927
- Phone
- (951) 486-4345
- Fax
- (951) 486-4330
Specialties & Taxonomies
Emergency Medicine
License: CA #A66209
Emergency Medicine, Pediatric Emergency Medicine
License: TX #N6326
Pediatrics
License: OK #24883
Pediatrics, Child Abuse Pediatrics
License: CA #A66209
Pediatrics
Primary License: CA #A66209