Individual
TERRILL ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12021 WILMINGTON AVE STE 101, LOS ANGELES, CA 90059-3019
(424) 454-6001
Mailing address
12021 WILMINGTON AVE STE 101, LOS ANGELES, CA 90059-3019
(424) 454-6001
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-MGIEBT
CA
Other
Enumeration date
10/29/2025
Last updated
10/29/2025
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