Individual
DR. DAVID M. GROSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18375 VENTURA BLVD, SUITE 640, TARZANA, CA 91356-4218
(818) 908-8048
(818) 908-8072
Mailing address
5525 ETIWANDA AVE, SUITE 200, TARZANA, CA 91356-3647
(818) 528-1290
(818) 528-1295
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A52722
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A527220
BLUE SHIELD
CA
Enumeration date
04/28/2006
Last updated
05/03/2016
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