Brian R Gross,Md,Inc.

LBN: Brian R Gross,Md,Inc.
Brian R Gross,Md,Inc. is an health care organization with primary practice located at 25880 Tournament Rd Suite 109, Valencia CA 91355-2349. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Brian R Gross,Md,Inc. can be contacted via phone (661) 255-6622, or through Gross, Brian Ronald via phone (661) 255-6622.

Contact Information

Primary practice address
25880 Tournament Rd Suite 109 Valencia CA 91355-2349
Fax: (661) 255-6628
Website:
Authorized official contact:
Name: Gross, Brian Ronald Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 156FX1100X California

Profile Details

NPI number 1366616476
LBN Legal business name Brian R Gross,Md,Inc.
DBA Doing business as
Authorized official Gross, Brian Ronald Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2008
Last updated Apr 18th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366616476 NPPES
California MEDICAID 2998318

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