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GROSSMAN AND GROSSMAN MDS A MEDICAL CORPORATION NPI 1255483525


NPI Information

NPI: 1255483525
Provider Name: GROSSMAN AND GROSSMAN MDS A MEDICAL CORPORATION
Classification: Obstetrics & Gynecology - 207VX0000X
Entity Type: Organization

Specialization: Obstetrics

CLIA Number: 05D0862324

Address:
558 N VENTU PARK RD
SUITE A
THOUSAND OAKS, CA
ZIP 91320
Phone: (805) 498-0240
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GROSSMAN AND GROSSMAN MDS A MEDICAL CORPORATION is an obstetrics obstetrics gynecology in Thousand Oaks, CA. The provider is a physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee GROSSMAN AND GROSSMAN MDS A MEDICAL CORPORATION NPI is 1255483525. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

558 N VENTU PARK RD
SUITE A
THOUSAND OAKS, CA
ZIP 91320-718
Phone: (805) 498-0240

The provider's authorized official is Robert Grossman .
The authorized official title is President and has the following contact phone number (805) 498-0240.

The CLIA number assigned to this NPI record is 05D0862324 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/17/2007 and was last updated on 2/7/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VX0000XObstetrics & GynecologyObstetricsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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