Individual
BENJAMIN ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 EAST FOURTH STREET, NATIONAL CITY, CA 91950
(619) 470-4321
Mailing address
7035 GENICE RENEE ST, BAKERSFIELD, CA 93312-5032
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4351048051
MI
207P00000X
Emergency Medicine Physician
Primary
A195909
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/09/2020
Last updated
06/28/2024
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