BRIAN R GROSS,MD,INC.; NPI #1366616476

Contact Information

BRIAN R GROSS,MD,INC.

25880 TOURNAMENT RD
SUITE 109
VALENCIA, CA 91355-2349

Phone: 661-255-6622
Fax: 661-255-6628
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for BRIAN R GROSS,MD,INC.

NPI # 1366616476

LBN Legal business name BRIAN R GROSS,MD,INC.

Authorized official BRIAN GROSS - (OWNER/MD)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/18/2008

Last updated 04/18/2008 - About 18 years ago

Identifiers

CA	License #	156FX1100X
CA	Medicaid	2998318

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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BRIAN R GROSS,MD,INC.

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for BRIAN R GROSS,MD,INC.

Reviews for BRIAN R GROSS,MD,INC.