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Individual

DR. ROBERT GROSS

Active
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Individual

DR. ROBERT GROSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20A7951
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0033089489
HEALTHNET
CA
01
—
0076650242
PACIFICARE / SECURE HORIZONS
CA
01
—
020A79510
BLUE SHIELD
CA
01
—
421359
AETNA
CA
01
—
5869361002
CIGNA POS
CA
01
—
5869361004
CIGNA HMO
CA
01
—
OHB253
BLUE CROSS
CA
Enumeration date
10/19/2006
Last updated
06/30/2008
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