Individual
DR. ETHAN MITCHELL ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4867 W SUNSET BLVD, LOS ANGELES, CA 90027-5969
(323) 783-9221
Mailing address
4867 W SUNSET BLVD, LOS ANGELES, CA 90027-5969
(323) 783-9221
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A104876
CA
207P00000X
Emergency Medicine Physician
MD175737
OR
Other
Enumeration date
07/10/2008
Last updated
01/30/2023
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