Ross, Craig A

Ross, Craig A is an sole proprietor health care provider with primary practice located at 16480 Harbor Blvd Suite 104, Fountain Valley CA 92708-1361. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Ross, Craig A can be contacted via phone (714) 775-0777.

Contact Information

Primary practice address
16480 Harbor Blvd Suite 104 Fountain Valley CA 92708-1361
Phone: (714) 775-0777
Fax: (714) 775-1026
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X G28225 California

Profile Details

NPI number 1215928221
LBN Legal business name Ross, Craig A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2005
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 1215928221 NPPES
California MEDICAID 00G282250

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