Organization
DANIEL J. COSGROVE, M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL JEREMY COSGROVE MD (OWNER)
(818) 906-0635
Entity
Organization
Contact information
Practice address
16311 VENTURA BLVD, STE. 800, ENCINO, CA 91436-2124
(818) 906-0635
(818) 906-7303
Mailing address
16311 VENTURA BLVD, STE. 800, ENCINO, CA 91436-2124
(818) 906-0635
(818) 906-7303
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A64348
CA
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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