GROSSMAN MEDICAL GROUP INC NPI 1518916311

NPI Information

GROSSMAN MEDICAL GROUP INC is a plastic and reconstructive surgery surgery in West Hills, CA. The provider is a surgeon who specializes in plastic and reconstructive surgery. GROSSMAN MEDICAL GROUP INC NPI is 1518916311. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7325 MEDICAL CENTER DR
SUITE 200
WEST HILLS, CA
ZIP 91307-925
Phone: (818) 981-2050
Fax: (818) 981-2382

The provider's authorized official is Peter Hylan Grossman .
The authorized official title is Physician and has the following contact phone number (818) 981-2050.

The CLIA number assigned to this NPI record is 05D2021260 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/9/2006 and was last updated on 7/16/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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