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Mr. Daniel Jeremy Cosgrove, MD
Urology Physician in Encino, California
NPI 1790766491

Daniel Jeremy Cosgrove is a Urology Physician based in Encino, CA. Daniel Jeremy Cosgrove practices in Encino, CA and has the professional credentials of MD. The NPI Number for Daniel Jeremy Cosgrove is 1790766491 and holds a License No. S64348 (California).

The current practice location address for Daniel Jeremy Cosgrove is 16311 Ventura Blvd, Encino, CA and can be reached out via phone at 878-906-0635 and via fax at 818-906-7303.

Location: 16311 Ventura Blvd, Encino, CA, 91436-2124
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790766491
Provider Name
Daniel Jeremy Cosgrove
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
16311 Ventura Blvd, Encino, CA, 91436-2124
Phone Number
878-906-0635
Fax Number
818-906-7303
Provider Enumeration Date
11/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
222046862 01 CA BLUE SHIELD
00A643480 05 CA
P00647439 01 CA RAILROAD MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
16311 Ventura Blvd
City
Encino
State
California
Zip
91436-2124
Phone Number
878-906-0635
Fax Number
818-906-7303
person
Provider Business Mailing Address Details
Address
16311 Ventura Blvd
City
Encino
State
California
Zip
91436-2124
Phone Number
878-906-0635
Fax Number
818-906-7303
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
S64348 (California)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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