Individual
ALESSANDRA AMY ELIZABETH ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3770 JANES RD, ARCATA, CA 95521-4744
(707) 826-7846
(707) 826-7845
Mailing address
1225 MARSHALL ST, STE 7, CRESCENT CITY, CA 95531-2281
(707) 464-1989
(707) 464-9593
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0101236659
VA
207X00000X
Orthopaedic Surgery Physician
Primary
128009
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12652821
CAQH
CA
01
—
A128009
CA MEDICAL LICENSE
CA
Enumeration date
08/30/2006
Last updated
09/16/2015
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