Individual
DR. JOHN E GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 S MANCHESTER AVE STE 650, ORANGE, CA 92868-3224
(714) 456-3077
Mailing address
200 S MANCHESTER AVE STE 300, ORANGE, CA 92868-3219
(714) 456-2986
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
A46075
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A460750
—
CA
Enumeration date
07/07/2006
Last updated
12/22/2022
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