Groden, Joel David

Groden, Joel David is an individual health care provider with primary practice located at 15910 Ventura Blvd Suite 1502, Encino CA 91436-2802. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Groden, Joel David can be contacted via phone (818) 728-9877.

Contact Information

Primary practice address
15910 Ventura Blvd Suite 1502 Encino CA 91436-2802
Phone: (818) 728-9877
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X G65019 California
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X G65019 California
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X G65019 California

Profile Details

NPI number 1740236280
LBN Legal business name Groden, Joel David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Mar 25th, 2014 - about 10 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 1740236280 NPPES
California MEDICAID 00G650190
California Other 00G650190

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