Organization
PROFESSIONAL NEUROLOGICAL CARE
Active
Other names
PROFESSIONAL NEUROL CARE MED CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN GROSS MD (MD)
(323) 939-1689
Entity
Organization
Contact information
Practice address
6221 WILSHIRE BLVD, SUITE 509, LOS ANGELES, CA 90048-5201
(323) 939-1689
(323) 939-7084
Mailing address
3831 HUGHES AVE, SUITE 506, CULVER CITY, CA 90232-2751
(323) 939-1689
(323) 939-7084
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
05/18/2007
Last updated
10/04/2012
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