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Organization
ELLIOT GROSS A PROF CORP
Active
Organization
ELLIOT GROSS A PROF CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLIOT GROSS MD (OWNER)
(310) 559-4833
Entity
Organization
Contact information
Practice address
3831 HUGHES AVE, 509, CULVER CITY, CA 90232-2751
(310) 559-4833
(310) 558-0624
Mailing address
3831 HUGHES AVE, 509, CULVER CITY, CA 90232-2751
(310) 559-4833
(310) 558-0624
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G28678
CA
Other
Enumeration date
06/22/2010
Last updated
06/24/2010
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