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Organization
ROSS MEDICAL ASSOCIATES LADERA
Active
Organization
ROSS MEDICAL ASSOCIATES LADERA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARL GEBHARD MD (OWNER)
(949) 364-9112
Entity
Organization
Contact information
Practice address
800 CORPORATE DR, SUITE 100, LADERA RANCH, CA 92694-1152
(949) 364-9112
(949) 364-9016
Mailing address
800 CORPORATE DR, SUITE 100, LADERA RANCH, CA 92694-1152
(949) 364-9112
(949) 364-9016
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C28419
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D1013480
CLIA WAIVER
CA
Enumeration date
05/03/2006
Last updated
08/24/2010
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