Willie Van Ross is a Specialist in Hayward, California. Willie Van Ross practices all healthcare services and medical treatments related to Specialist. The NPI Number for Willie Van Ross is 1871536342. The last update date is 2013-11-11.
Willie Van Ross's current location address is 22290 Foothill Blvd, Hayward, California. You can contact this provider via phone number 5105811446 and fax number 5105181805. The mailing address for Willie Van Ross is 22290 Foothill Blvd, Hayward, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Willie Van Ross |
|---|---|
| Address | 22290 Foothill Blvd, Hayward, California |
| Phone Number | 5105811446 |
| Fax Number | 5105181805 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1871536342 |
|---|---|
| Provider Enumeration Date | 2006-06-13 |
| Last Updated Date | 2013-11-11 |
Provider Mailing Address Detail
| Address | 22290 Foothill Blvd |
|---|---|
| City | Hayward |
| State | California (CA) |
| Post Code | 945412731 |
| Phone Number | 5105811446 |
| Fax Number | 5105181805 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | G53544 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR0067540 | CA | -- |
Post Comment/ Review Below
What is the Willie Van Ross's unique identification number?
The Willie Van Ross has been assigned the NPI (National Provider Identifier) Number 1871536342 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Willie Van Ross's physical address?
The Willie Van Ross is physically located at 22290 Foothill Blvd, in the city of Hayward, CA, with the postal code 945412731.
What is Willie Van Ross's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Willie Van Ross's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1871536342 to Willie Van Ross?
The Centers for Medicare & Medicaid Services originally issued the 1871536342 to Willie Van Ross on 2006-06-13.
As of what date were the Willie Van Ross's details last updated?
The information pertaining to the Willie Van Ross, including its address, specialty, and other details, was most recently updated on 2013-11-11.