Look up the most recent NPI and PECOS records

Lillian Grobman

Pediatrics

Allopathic & Osteopathic Physicians

3020 Childrens Way, Mc 5124, San Diego, CA 92123-4223

PECOS Enrollment

Based on the most recent information from CMS, provider Lillian Grobman is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 2:29 PM.

Profile Details

Provider ID
1043607245
Provider Type
Individual
Full Name
Grobman, Lillian
Title
Dr.
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
4/25/2015
Last Updated
10/13/2022

Contact Information

Practice Location

3020 Childrens Way, Mc 5124, San Diego, CA 92123-4223

(858) 966-6764

Unlisted Fax

Mailing Location

3020 Childrens Way, Mc 5124, San Diego, CA 92123-4223

(858) 966-6764

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208000000X Primary	Description Pediatrics Allopathic & Osteopathic Physicians	License A146078 California

Lillian Grobman

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Pickering, Bretten D.

Krak, Michael Andrew

Duster, Nicole

Kim, Jenny

Kern, Leah D

Hansen, John C

Amin, Milan Dipak

Crow, Janet K

Liu, Yi Hui

Hooft, Anneka