Provider Demographics
NPI:1134764301
Name:ASKIL GHOZLAND MD, INC
Entity type:Organization
Organization Name:ASKIL GHOZLAND MD, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ASKIL
Authorized Official - Middle Name:
Authorized Official - Last Name:GHOZLAND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:562-277-2800
Mailing Address - Street 1:11645 WILSHIRE BLVD STE 905
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-6814
Mailing Address - Country:US
Mailing Address - Phone:310-393-9359
Mailing Address - Fax:310-451-7807
Practice Address - Street 1:11645 WILSHIRE BLVD STE 905
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-6814
Practice Address - Country:US
Practice Address - Phone:310-393-9359
Practice Address - Fax:310-451-7807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-12
Last Update Date:2019-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty