Individual
DAVID G ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
13939 E 14TH ST, SUITE 150, SAN LEANDRO, CA 94578-2601
(510) 343-8300
(510) 343-8301
Mailing address
13939 E 14TH ST, SUITE 150, SAN LEANDRO, CA 94578-2601
(510) 343-8300
(510) 343-8301
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA12228
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPA122280
BLUE SHIELD
CA
05
—
OPA122280
—
CA
Enumeration date
11/11/2005
Last updated
09/08/2015
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