Organization
DR GROSS MEDICAL CENTER, INC
Active
Organization
DR GROSS MEDICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN GROSS MD (OWNER /MEDICAL DIRECTOR)
(323) 561-3006
Entity
Organization
Contact information
Practice address
1718 COLORADO BLVD, LOS ANGELES, CA 90041
(323) 561-3006
(323) 561-3062
Mailing address
1718 COLORADO BLVD, LOS ANGELES, CA 90041
(323) 561-3006
(323) 561-3062
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G41777
MEDICAL BOARD OF CALIFORNIA
CA
Enumeration date
03/06/2023
Last updated
03/06/2023
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