Individual
CARL A GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
117 PIRIE RD, SUITE D, OJAI, CA 93023-3166
(805) 646-7246
(805) 646-8936
Mailing address
117 PIRIE RD, SUITE D, OJAI, CA 93023-3166
(805) 646-7246
(805) 646-8936
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G35542
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
YYY49311Y
—
CA
Enumeration date
04/26/2006
Last updated
10/18/2007
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