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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