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Individual

DR. ELLIOT GROSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3831 HUGHES AVE, #509, CULVER CITY, CA 90232-2751
(310) 559-4833
(310) 558-0624
Mailing address
3831 HUGHES AVE., #509, CULVER CITY, CA 90232
(310) 559-4833
(310) 558-0624

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G28678
CA

Other

Enumeration date
12/02/2005
Last updated
11/23/2010
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