Organization
HANNAH GROSSMAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HANNAH GROSSMAN M.D. (OWNER)
(805) 498-0240
Entity
Organization
Contact information
Practice address
558 N VENTU PARK RD, SUITE A, THOUSAND OAKS, CA 91320-2718
(805) 498-0240
(818) 817-9835
Mailing address
558 N VENTU PARK RD, SUITE A, THOUSAND OAKS, CA 91320-2718
(805) 498-0240
(818) 817-9835
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
G051580
CA
Other
Enumeration date
11/19/2009
Last updated
11/19/2009
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