Provider Demographics
NPI:1255428785
Name:GRIGOR, ELIZABETH (MD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:
Last Name:GRIGOR
Suffix:
Gender:F
Credentials:MD
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Other - Last Name:
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Mailing Address - Street 1:11080 W. OLYMPIC BLVD. 4TH FLOOR
Mailing Address - Street 2:EDELMAN MHC
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90064
Mailing Address - Country:US
Mailing Address - Phone:310-966-6500
Mailing Address - Fax:310-231-0684
Practice Address - Street 1:11080 W.OLYMPIC BLVD. 4TH FLOOR
Practice Address - Street 2:EDELMAN MHC
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90064
Practice Address - Country:US
Practice Address - Phone:310-966-6500
Practice Address - Fax:310-231-0684
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA886512084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry