# GROSSMAN AND GROSSMAN M D S A MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255483525
- **Authorized official:** ROBERT GROSSMAN M.D. (PRESIDENT)
- **Authorized official phone:** (805) 498-0240

## Contact information

- **Practice address:** 558 N VENTU PARK RD, SUITE A, THOUSAND OAKS, CA 91320-2718
- **Practice address phone:** (805) 498-0240
- **Mailing address:** 558 N VENTU PARK RD STE A, THOUSAND OAKS, CA 91320-2752
- **Mailing address phone:** (805) 498-0240

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207VX0000X | Obstetrics Physician | — | NULL | Yes |
| 207VX0000X | Obstetrics Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/17/2007
- **Last updated:** 08/04/2026