Organization
HOWARD GROSS MD INC APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOWARD M GROSS M.D. (OWNER)
(805) 898-2600
Entity
Organization
Contact information
Practice address
540 S MARENGO AVE, PASADENA, CA 91101-3130
(626) 397-4910
Mailing address
2323 OAK PARK LN STE 102, SANTA BARBARA, CA 93105-4276
(805) 898-2600
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G61854
MEDICAL LICENSE
CA
Enumeration date
06/07/2007
Last updated
11/19/2007
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