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

Individual provider Obstetrics & Gynecology Physician · NPI 1801974977

Kenneth E. Grullon, MD is an Obstetrics & Gynecology Physician in Antioch, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3400 Delta Fair Blvd
Antioch, CA 94509-4004
Phone: (925) 779-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence G76376 (CA)

Record details

NPI number1801974977
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 2, 2006
Last updated in NPPESDecember 17, 2021
Mailing address1800 Harrison St Fl 7, Oakland, CA 94612-3466

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