Gross, Brian Ronald

Gross, Brian Ronald is an individual health care provider with primary practice located at 27420 Tourney Rd Suite 100, Valencia CA 91355-5601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Gross, Brian Ronald can be contacted via phone (661) 259-3937.

Contact Information

Primary practice address
27420 Tourney Rd Suite 100 Valencia CA 91355-5601
Phone: (661) 259-3937
Fax: (661) 259-3904
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G37513 California

Profile Details

NPI number 1083620066
LBN Legal business name Gross, Brian Ronald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Nov 8th, 2019 - about 5 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 1083620066 NPPES
California MEDICAID 2998318

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