Basic Information
| Provider Information | |||||||||
| NPI: | 1639548480 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CS MEDICAL GROUP INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 530 WILSHIRE BLVD STE 202A | ||||||||
| Address2: | |||||||||
| City: | SANTA MONICA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 904011427 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3103939359 | ||||||||
| FaxNumber: | 3104517807 | ||||||||
| Practice Location | |||||||||
| Address1: | 530 WILSHIRE BLVD STE 202A | ||||||||
| Address2: | |||||||||
| City: | SANTA MONICA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 904011427 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3103939359 | ||||||||
| FaxNumber: | 3104517807 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/23/2015 | ||||||||
| LastUpdateDate: | 11/04/2015 | ||||||||
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| AuthorizedOfficialLastName: | GHOZLAND | ||||||||
| AuthorizedOfficialFirstName: | DAVID | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 3103939359 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | A86726 | CA | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.