Jay Gross, M.D., A Professional Corporation

LBN: Jay Gross, M.D., A Professional Corporation
Jay Gross, M.D., A Professional Corporation is an health care organization with primary practice located at 2222 Santa Monica Blvd Suite 107, Santa Monica CA 90404-2304. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Jay Gross, M.D., A Professional Corporation can be contacted via phone (310) 496-3770, or through Gracia, Rachel via phone (310) 496-3770.

Contact Information

Primary practice address
2222 Santa Monica Blvd Suite 107 Santa Monica CA 90404-2304
Fax: (310) 496-3767
Website:
Authorized official contact:
Name: Gracia, Rachel

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G36307 California

Profile Details

NPI number 1134370620
LBN Legal business name Jay Gross, M.D., A Professional Corporation
DBA Doing business as
Authorized official Gracia, Rachel
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2008
Last updated Oct 17th, 2012 - about 12 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 1134370620 NPPES
California MEDICAID 00G373070

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