Individual
BRANDON ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2355 POPPY HILLS DR, CHULA VISTA, CA 91915-2177
(619) 309-9677
Mailing address
2355 POPPY HILLS DR, CHULA VISTA, CA 91915-2177
(619) 309-9677
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A76782
CA
Other
Enumeration date
01/02/2019
Last updated
01/02/2019
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