Cosgrove, Daniel Jeremy

Cosgrove, Daniel Jeremy is an sole proprietor health care provider with primary practice located at 16311 Ventura Blvd Ste 800, Encino CA 91436-2124. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Cosgrove, Daniel Jeremy can be contacted via phone (878) 906-0635.

Contact Information

Primary practice address
16311 Ventura Blvd Ste 800 Encino CA 91436-2124
Phone: (878) 906-0635
Fax: (818) 906-7303
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X S64348 California

Profile Details

NPI number 1790766491
LBN Legal business name Cosgrove, Daniel Jeremy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2005
Last updated Jul 8th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790766491 NPPES
California Other 222046862 BLUE SHIELD
California MEDICAID 00A643480 BLUE SHIELD
California Other P00647439 BLUE SHIELD

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