Individual
DR. CRAIG A ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16480 HARBOR BLVD, SUITE 104, FOUNTAIN VALLEY, CA 92708-1361
(714) 775-0777
(714) 775-1026
Mailing address
PO BOX 4166, HUNTINGTON BEACH, CA 92605-4166
(714) 775-0777
(714) 775-1026
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G28225
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G282250
—
CA
Enumeration date
10/31/2005
Last updated
07/08/2007
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