| David M. Grossman, M.d., Medical Corporation | |
|
18375 Ventura Blvd Suite 640 Tarzana CA 91356-4218 | |
| (818) 908-8048 | |
| (818) 908-8072 |
| Full Name | David M. Grossman, M.d., Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 18375 Ventura Blvd, Tarzana, California |
| Authorized Official Name and Position | David M. Grossman (PHYSICIAN/OWNER) |
| Authorized Official Contact | 8185281290 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David M. Grossman, M.d., Medical Corporation 5525 Etiwanda Ave. Suite 200 Tarzana CA 91356-6131 Ph: (818) 528-1290 | David M. Grossman, M.d., Medical Corporation 18375 Ventura Blvd Suite 640 Tarzana CA 91356-4218 Ph: (818) 908-8048 |
| NPI Number | 1447208194 |
|---|---|
| Provider Enumeration Date | 05/05/2006 |
| Last Update Date | 05/03/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447208194 | NPI | - | NPPES |
| 00A527220 | Other | CA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A52722 (California) | Primary |
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