Organization
KATHRYN A ROSS, MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN A ROSS M.D. (PHYSICIAN/CEO)
(949) 943-1376
Entity
Organization
Contact information
Practice address
901 DOVER DR, SUITE 122, NEWPORT BEACH, CA 92660-5538
(949) 650-8700
(949) 650-0877
Mailing address
901 DOVER DR, SUITE 122, NEWPORT BEACH, CA 92660-5538
(949) 650-8700
(949) 650-0877
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G42979
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477708766
MEDICARE
—
01
—
1871537035
MEDICARE
CA
Enumeration date
12/01/2008
Last updated
02/23/2011
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