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Organization
JEREMY IAN GROSSER, M.D., INC.
Active
Organization
JEREMY IAN GROSSER, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY IAN GROSSER MD (PRESIDENT)
(818) 929-2259
Entity
Organization
Contact information
Practice address
7355 TOPANGA CANYON BLVD STE 200, CANOGA PARK, CA 91303-1244
(818) 885-8500
(818) 700-5690
Mailing address
109 DAPPLEGRAY RD, BELL CANYON, CA 91307-1050
(818) 929-2259
(818) 700-5690
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
A67128
CA
Other
Enumeration date
10/24/2007
Last updated
09/04/2022
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