Kenneth Gary Gross in San Diego - Mohs-micrographic Surgery
Kenneth Gary Gross - NPI 1104865898
Kenneth Gary Gross is a Mohs-micrographic Surgery in San Diego, California. Kenneth Gary Gross practices all healthcare services and medical treatments related to Mohs-micrographic Surgery. The NPI Number for Kenneth Gary Gross is 1104865898. The last update date is 2008-05-05.
Kenneth Gary Gross's current location address is 5222 Balboa Ave, San Diego, California. You can contact this provider via phone number 8582925101 and fax number 8582920514. The mailing address for Kenneth Gary Gross is 5222 Balboa Ave, San Diego, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kenneth Gary Gross |
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Address | 5222 Balboa Ave, San Diego, California |
Phone Number | 8582925101 |
Fax Number | 8582920514 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1104865898 |
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Provider Enumeration Date | 2006-06-06 |
Last Updated Date | 2008-05-05 |
Provider Mailing Address Detail
Address | 5222 Balboa Ave |
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City | San Diego |
State | California (CA) |
Post Code | 921176904 |
Phone Number | 8582925101 |
Fax Number | 8582920514 |
Provider's Primary Taxonomy Detail
Speciality | Mohs-micrographic Surgery |
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Taxonomy | 207Nd0101X |
Licence No | A37440 |
Definition: The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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00A374400 | CA | -- | |
A37440 | CA | CA STATE LICENSE |
Post Comment/ Review Below
What is the Kenneth Gary Gross's unique identification number?
The Kenneth Gary Gross has been assigned the NPI (National Provider Identifier) Number 1104865898 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
What is the Kenneth Gary Gross's area of specialization and corresponding taxonomy classification?
The Kenneth Gary Gross's specialty field is Mohs-micrographic Surgery, and it falls under the taxonomy code 207Nd0101X, which categorizes healthcare providers based on their specialties.
When did the Kenneth Gary Gross receive its 1104865898?
The Kenneth Gary Gross was issued its 1104865898 on 2006-06-06, which is the date when the organization was assigned this unique identifier.
As of what date were the Kenneth Gary Gross's details last updated?
The information pertaining to the Kenneth Gary Gross, including its address, specialty, and other details, was most recently updated on 2008-05-05.
As of what date were the details related to Kenneth Gary Gross most recently updated or revised?
The information pertaining to Kenneth Gary Gross, including its address, specialty, and other relevant details, was last updated or revised on 2008-05-05.