Organization
MARTIN A JOSEPHSON, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA L GRASSO (PRACTICE MANAGER)
(805) 494-9494
Entity
Organization
Contact information
Practice address
2220 LYNN RD, 208, THOUSAND OAKS, CA 91360-1904
(805) 494-9494
(805) 496-5631
Mailing address
2220 LYNN RD, 208, THOUSAND OAKS, CA 91360-8042
(805) 494-9494
(805) 496-5631
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
G25198
CA
Other
Enumeration date
05/08/2015
Last updated
05/08/2015
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