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Organization
GROSSMAN AND GROSSMAN M D S A MEDICAL CORPORATION
Active
Organization
GROSSMAN AND GROSSMAN M D S A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT GROSSMAN M.D. (PRESIDENT)
(805) 498-0240
Entity
Organization
Contact information
Practice address
558 N VENTU PARK RD, SUITE A, THOUSAND OAKS, CA 91320-2718
(805) 498-0240
Mailing address
558 N VENTU PARK RD STE A, THOUSAND OAKS, CA 91320-2752
(805) 498-0240
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207VX0000X
Obstetrics Physician
Primary
—
NULL
207VX0000X
Obstetrics Physician
Primary
—
—
Other
Enumeration date
01/17/2007
Last updated
08/04/2026
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