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NPI Code Detail

MEDICARE: DAVID GHOZLAND MD

MEDICARE: DAVID GHOZLAND MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology PhysicianA86726CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750375929
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID GHOZLAND MD
Provider Business Mailing Address
First Line : 11645 WILSHIRE BLVD STE 905
Second Line :
City : LOS ANGELES
State : CA
Zip : 90025-6814
Country : US
Telephone Number : 310-393-9359
Fax Number : 310-451-7807
Provider Business Practice Location Address
First Line : 11645 WILSHIRE BLVD STE 905
Second Line :
City : LOS ANGELES
State : CA
Zip : 90025-6814
Country : US
Telephone Number : 310-393-9359
Fax Number : 310-451-7807
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2005
Last Update Date : 07/11/2019

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Directions to “ DAVID GHOZLAND MD” Practice Location

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