Individual
SANG GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3801 MIRANDA AVE, PALO ALTO, CA 94304-1207
(650) 493-5000
Mailing address
5693A DOVEKIE AVE, EWA BEACH, HI 96706-3236
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
4529
HI
291U00000X
Clinical Medical Laboratory
Primary
MTA 43288
CA
Other
Enumeration date
03/11/2010
Last updated
03/11/2010
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