Individual
MELVYN B ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 522-2718
(909) 580-6257
Mailing address
PO BOX 1632, COLTON, CA 92324-0851
(909) 522-2718
(909) 580-6257
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
00G341000
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G341000
—
CA
Enumeration date
10/24/2006
Last updated
03/16/2012
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