| Mr Malcolm David Cosgrove, MD | |
| 16311 Ventura Blvd, Ste 1000, Encino, CA 91436-2147 | |
| (818) 906-0635 | |
| (818) 906-7303 | 
| Full Name | Mr Malcolm David Cosgrove | 
|---|---|
| Gender | Male | 
| Speciality | Urology | 
| Location | 16311 Ventura Blvd, Encino, California | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1609857309 | NPI | - | NPPES | 
| P00647436 | Other | CA | RAILROAD MEDICARE PTAN | 
| 00A251830 | Medicaid | CA | |
| Z22046856Z | Other | CA | BLUE SHIELD | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208800000X | Urology | A25183 (California) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr Malcolm David Cosgrove, MD 16311 Ventura Blvd, Ste 1000, Encino, CA 91436-2147 Ph: (818) 906-0635 | Mr Malcolm David Cosgrove, MD 16311 Ventura Blvd, Ste 1000, Encino, CA 91436-2147 Ph: (818) 906-0635 | 
| Patrick J Cannon, M.D. Urology Medicare: Medicare Enrolled Practice Location: 16101 Ventura Blvd, Suite 300, Encino, CA 91436 Phone: 818-788-5700 Fax: 818-788-5702 | |
| Mr. Daniel Jeremy Cosgrove, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 16311 Ventura Blvd, Ste 800, Encino, CA 91436 Phone: 878-906-0635 Fax: 818-906-7303 |