| Doctor Name: | ROBERT A GROSSMAN |
| NPI Number: | 1053462606 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | G039997 |
| Business Practice Address: | 558 Ventu Park Rd Ste A Thousand Oaks, CA - 913202752 |
| Business Phone Number: | 8188179832 |
| Business Fax Number: | 8188179835 |
| Mailing Address: | 558 Ventu Park Rd Ste A, THOUSAND OAKS |
| State: | CA |
| Postal Code: | 913202752 |
| Phone Number: | 8188179832 |
| Fax Number: | 8188179835 |
| NPI Enumeration Date: | 01/12/2007 |
| NPI Last Update Date: | 10/23/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VX0000X |
| License Number: | G039997 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Obstetrics |
| Taxonomy Definition: | |