Basic Information
| Provider Information | |||||||||
| NPI: | 1134764301 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | ASKIL GHOZLAND MD, INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11645 WILSHIRE BLVD STE 905 | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900256814 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3103939359 | ||||||||
| FaxNumber: | 3104517807 | ||||||||
| Practice Location | |||||||||
| Address1: | 11645 WILSHIRE BLVD STE 905 | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900256814 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3103939359 | ||||||||
| FaxNumber: | 3104517807 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/12/2019 | ||||||||
| LastUpdateDate: | 11/12/2019 | ||||||||
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| AuthorizedOfficialLastName: | GHOZLAND | ||||||||
| AuthorizedOfficialFirstName: | ASKIL | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 5622772800 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | Y | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.