Healthcare Provider Details

I. General information

NPI: 1770785073
Provider Name (Legal Business Name): EROL KOSAR MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2007
Last Update Date: 03/08/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4201 TORRANCE BLVD SUITE 560
TORRANCE CA
90503-4504
US

IV. Provider business mailing address

4201 TORRANCE BLVD SUITE 560
TORRANCE CA
90503-4504
US

V. Phone/Fax

Practice location:
  • Phone: 310-792-5800
  • Fax: 310-792-5801
Mailing address:
  • Phone: 310-792-5800
  • Fax: 310-792-5801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License NumberG75877
License Number StateCA

VIII. Authorized Official

Name: EROL M. KOSAR
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 310-792-5800