Organization
EROL KOSAR MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EROL M. KOSAR M.D. (PHYSICIAN)
(310) 792-5800
Entity
Organization
Contact information
Practice address
4201 TORRANCE BLVD, SUITE 560, TORRANCE, CA 90503-4504
(310) 792-5800
(310) 792-5801
Mailing address
4201 TORRANCE BLVD, SUITE 560, TORRANCE, CA 90503-4504
(310) 792-5800
(310) 792-5801
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
G75877
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G758770
—
CA
01
—
1104820927
INDIVIDUAL NPI NUMBER
CA
01
—
W19504
MEDICARE ID GROUP PROV #
CA
01
—
WG75877E
MEDICARE ID
CA
Enumeration date
05/31/2007
Last updated
03/08/2011
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