# JD GROSS MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Arizona Medical Management
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801194196
- **Authorized official:** DR. JEFFREY D. GROSS M.D. (PRESIDENT)
- **Authorized official phone:** (714) 378-1100

## Contact information

- **Practice address:** 2418 E DANBURY RD, PHOENIX, AZ 85032-2425
- **Practice address phone:** (714) 378-1100
- **Practice address fax:** (714) 378-1150
- **Mailing address:** 2701 HARBOR BLVD, BLDG \#E2, SUITE 214, COSTA MESA, CA 92626-5153
- **Mailing address phone:** (714) 378-1100
- **Mailing address fax:** (714) 378-1150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207T00000X | Neurological Surgery Physician | G79394 | CA | — |
| 207X00000X | Orthopaedic Surgery Physician | 20A9441 | CA | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 20A9441 | CA | Yes |

## Other

- **Enumeration date:** 03/10/2011
- **Last updated:** 03/10/2011