Provider Demographics
NPI:1003149303
Name:WEST VALLEY HOSPITALIST ASSOCIATES, INC.
Entity Type:Organization
Organization Name:WEST VALLEY HOSPITALIST ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:IAN
Authorized Official - Last Name:GROSSER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-307-3387
Mailing Address - Street 1:6520 PLATT AVE
Mailing Address - Street 2:#396
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-3218
Mailing Address - Country:US
Mailing Address - Phone:818-307-3387
Mailing Address - Fax:818-992-0046
Practice Address - Street 1:6520 PLATT AVE
Practice Address - Street 2:#396
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-3218
Practice Address - Country:US
Practice Address - Phone:818-307-3387
Practice Address - Fax:818-992-0046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-18
Last Update Date:2009-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA67128208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Single Specialty