Daniel K Grossman, MD | |
1328 Twenty Second St, Santa Monica, CA 90404-2091 | |
(310) 582-7089 | |
Not Available |
Full Name | Daniel K Grossman |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 1328 Twenty Second St, Santa Monica, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386601326 | NPI | - | NPPES |
00G673840 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
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207P00000X | Emergency Medicine | G67384 (California) | Primary |
Entity Name | Saint Johns Emergency Medicine Specialists Inc A Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609888940 PECOS PAC ID: 9335046291 Enrollment ID: O20031217001093 |
Entity Name | Cep America - California |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548667843 PECOS PAC ID: 6103739131 Enrollment ID: O20040121000458 |
Mailing Address | Practice Location Address |
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Daniel K Grossman, MD Po Box 12079, Westminster, CA 92685-3852 Ph: (562) 809-3595 | Daniel K Grossman, MD 1328 Twenty Second St, Santa Monica, CA 90404-2091 Ph: (310) 582-7089 |
William Shyy, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1250 16th St, Santa Monica, CA 90404 Phone: 310-794-7700 | |
Edward S Cotner, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1328 Twenty Second Street, Santa Monica, CA 90404 Phone: 310-582-7089 | |
Walid H. Ghurabi, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1250 16th St, Emergency Department, Santa Monica, CA 90404 Phone: 310-319-4000 | |
Dr. Michael Jeffrey Weitz, MD. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1328 Twenty Second St, Santa Monica, CA 90404 Phone: 310-582-7089 | |
Dr. Robert Lee Hook Iii, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1250 16th St, Santa Monica, CA 90404 Phone: 310-794-7700 | |
Ms. Rosemarie Bustos Diaz, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1250 16th St, Santa Monica, CA 90404 Phone: 310-794-7700 | |
Amy L Kijner, PA Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1328 22nd St, Santa Monica, CA 90404 Phone: 310-582-7089 |