| Dr Jay Grossman & Associates | |
|
11980 San Vicente Blvd Ste 507 Los Angeles CA 90049-6603 | |
| (310) 820-0123 | |
| Not Available |
| Full Name | Dr Jay Grossman & Associates |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11980 San Vicente Blvd Ste 507, Los Angeles, California |
| Authorized Official Name and Position | Jay Grossman (OWNER) |
| Authorized Official Contact | 3108200123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jay Grossman & Associates 11980 San Vicente Blvd Ste 507 Los Angeles CA 90049-6603 Ph: (310) 820-0123 | Dr Jay Grossman & Associates 11980 San Vicente Blvd Ste 507 Los Angeles CA 90049-6603 Ph: (310) 820-0123 |
| NPI Number | 1811553324 |
|---|---|
| Provider Enumeration Date | 05/10/2019 |
| Last Update Date | 05/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811553324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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