Individual
DR. MITCHELL GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12414 EXPOSITION BLVD, LOS ANGELES, CA 90064-1016
(310) 272-7640
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(310) 272-7640
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A55762
CA
207RX0202X
Medical Oncology Physician
Primary
A55762
CA
Other
Enumeration date
06/29/2006
Last updated
11/27/2023
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