Individual
DR. KATHRYN A ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
901 DOVER DR, SUITE 122, NEWPORT BEACH, CA 92660-5538
(949) 650-8700
(949) 650-0877
Mailing address
901 DOVER DR, SUITE 122, NEWPORT BEACH, CA 92660-5538
(949) 650-8700
(949) 650-0877
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G42979
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G429790
—
CA
01
—
WG42979B
MEDICARE PTAN
—
Enumeration date
06/16/2006
Last updated
08/10/2011
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