Ross, Phillip Leon

Ross, Phillip Leon is an individual health care provider with primary practice located at 350 30Th St Ste 100, Oakland CA 94609-3424. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Ross, Phillip Leon can be contacted via phone (510) 204-8290.

Contact Information

Primary practice address
350 30Th St Ste 100 Oakland CA 94609-3424
Phone: (510) 204-8290
Fax: (510) 273-8977
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X A91162 California

Profile Details

NPI number 1033220611
LBN Legal business name Ross, Phillip Leon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated May 13th, 2010 - about 14 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 1033220611 NPPES
California MEDICAID 00A911620

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