Eto, Ross

Eto, Ross is an individual health care provider with primary practice located at 2811 Wilshire Blvd Ste 810 , Santa Monica CA 90403-4812. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neuroradiology, which is considered as his primary health care specialty. Eto, Ross can be contacted via phone (310) 829-9788.

Contact Information

Primary practice address
2811 Wilshire Blvd Ste 810 Santa Monica CA 90403-4812
Phone: (310) 829-9788
Fax: (310) 453-1576
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X G39734 California

Profile Details

NPI number 1811018690
LBN Legal business name Eto, Ross
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811018690 NPPES
California Other 00A418760 BLUE SHIELD OF CA
California MEDICAID 00A418760 BLUE SHIELD OF CA

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