Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GRANT NYBAKKEN, M.D.
ActiveGRANT NYBAKKEN, M.D. is a Clinical Pathology/Laboratory Medicine healthcare provider located in SOUTH SAN FRANCISCO, California. NPI 1104088400 is currently active in the NPPES registry. Verify at CMS.
Clinical Pathology/Laboratory Medicine · SOUTH SAN FRANCISCO, CA
Registration Details
- NPI Number
- 1104088400
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 27, 2008 (18.17475186059 yrs)
- Last Updated
- Nov 22, 2024
- License
-
MT193042 (PA)
Practice Information
- Address
-
383 E GRAND AVE STE ASOUTH SAN FRANCISCO, CA, 940806234Browse CA providers · Browse ZIP 94080
- Phone
- 6506162951
- Primary Specialty
-
Clinical Pathology/Laboratory Medicine
207ZP0105X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.