Cosgrove, Malcolm David

Cosgrove, Malcolm David is an sole proprietor health care provider with primary practice located at 16311 Ventura Blvd Ste 1000, Encino CA 91436-2147. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Cosgrove, Malcolm David can be contacted via phone (818) 906-0635.

Contact Information

Primary practice address
16311 Ventura Blvd Ste 1000 Encino CA 91436-2147
Fax: (818) 906-7303
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X A25183 California

Profile Details

NPI number 1609857309
LBN Legal business name Cosgrove, Malcolm David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2005
Last updated Feb 11th, 2009 - about 15 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 1609857309 NPPES
California Other P00647436 RAILROAD MEDICARE PTAN
California MEDICAID 00A251830 RAILROAD MEDICARE PTAN
California Other Z22046856Z RAILROAD MEDICARE PTAN

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