Individual
JAY GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2222 SANTA MONICA BLVD, SUITE 107, SANTA MONICA, CA 90404-2304
(310) 496-3770
(310) 496-3767
Mailing address
2222 SANTA MONICA BLVD, SUITE 107, SANTA MONICA, CA 90404-2304
(310) 496-3770
(310) 496-3767
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G36307
CA
Other
Enumeration date
07/18/2006
Last updated
10/03/2012
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