1. Home
  2. Directory
  3. California
  4. Wrightwood
  5. Internal Medicine
  6. NPI Profile

GENDERLAB, INC.
NPI 1104589738
Internal Medicine - Endocrinology, Diabetes & Metabolism in Wrightwood, CA

Active since October 20, 2021
2043 CALIFORNIA 2, WRIGHTWOOD, CA 92397(310) 606-1905 Get Directions Write a Review

NPPES record last updated: November 9, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 9, 2023, Oct 20, 2021 (2 updates tracked since 2021).

About Genderlab, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GENDERLAB, INC. (NPI 1104589738), doing business as Genderlab, is a healthcare organization registered as an endocrinology, diabetes & metabolism in Wrightwood, California and active in the NPI registry since October 2021. The organization lists James Jasper Grimm, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104589738
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NameGENDERLAB, INC.
Location Address2043 CALIFORNIA 2Wrightwood, CA 92397-3274
Mailing AddressPo Box 3274Wrightwood, CA 92397-3274 · (310) 606-1905
Phone(310) 606-1905
Organization SubpartNo
Authorized OfficialJames Jasper GrimmCeo · (310) 606-1905
Enumeration DateOctober 20, 2021
Last NPPES UpdateNovember 9, 20232 updates tracked since enumeration
NPPES CertifiedNovember 9, 2023
✔ NPI 1104589738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedPsychologistTaxonomy 103T00000X
Also ListedRegistered NurseTaxonomy 163W00000X
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X
2043 CALIFORNIA 2, Wrightwood, CA 92397
Open in Google Maps ↗

Other Names 1

Doing Business AsGenderlab

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Genderlab, Inc.'s NPI number?

The NPI number for Genderlab, Inc. is 1104589738. It was assigned to this organization in the NPPES registry on October 20, 2021. The provider is doing business as GenderLab.

Where is Genderlab, Inc. located?

Genderlab, Inc. is located at 2043 California 2, Wrightwood, CA 92397. The listed phone number is (310) 606-1905.

What is Genderlab, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

When was this NPI record last updated?

The NPPES record for Genderlab, Inc. was last updated on November 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.