Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elijah J Grant

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1710845508

Elijah J Grant is a Student in an Organized Health Care Education/Training Program in South Pasadena, California. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

205 Pasadena Ave
South Pasadena, CA 91030-2919
Phone: (626) 755-7710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1710845508
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 12, 2026
Last updated in NPPESJanuary 12, 2026
Certification dateJanuary 12, 2026
Mailing address205 Pasadena Ave, South Pasadena, CA 91030-2919

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