Organization
DAVID GHOZLAND, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID GHOZLAND M.D. (CEO)
(310) 393-9359
Entity
Organization
Contact information
Practice address
530 WILSHIRE BLVD STE 202B, SANTA MONICA, CA 90401-1427
(310) 393-9359
(310) 451-7807
Mailing address
530 WILSHIRE BLVD STE 202B, SANTA MONICA, CA 90401-1427
(310) 393-9359
(310) 451-7807
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A86726
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A86726
CA MEDICAL LICENSE
CA
Enumeration date
03/24/2011
Last updated
03/24/2011
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