Individual
MICHAEL M ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
315 N 3RD AVE STE 207, COVINA, CA 91723-1917
(626) 967-4469
(626) 967-4889
Mailing address
PO BOX 4039, ORANGE, CA 92863-4039
(714) 571-5000
(714) 919-8836
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA13332
CA
363AM0700X
Medical Physician Assistant
Primary
PA13332
CA
363AS0400X
Surgical Physician Assistant
PA13332
CA
Other
Enumeration date
04/14/2006
Last updated
02/02/2024
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