MEDICARE: DR. MICHAEL ROSS LAND D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2083X0100X	Occupational Medicine Physician	20A12886	CA

General Provider Information

NPI Number	:	1184057291
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL ROSS LAND D.O.

Provider Business Mailing Address
First Line	:	1000 BRISTOL ST N
Second Line	:	STE 1B
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-8916
Country	:	US
Telephone Number	:	510-439-7933
Fax Number	:	949-752-6333

Provider Business Practice Location Address
First Line	:	1000 BRISTOL ST N
Second Line	:	STE 1B
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-8916
Country	:	US
Telephone Number	:	510-439-7933
Fax Number	:	949-752-6333

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/12/2013
Last Update Date	:	03/04/2026

Similar Medicare Providers

1114089513 — NEWPORT URGENT CARE INCORPORATED
Practice Location Address:

1000 BRISTOL ST N , STE 1B
NEWPORT BEACH, CA
92660-8916

Practice Phone: 949-752-6300
Practice Fax: 949-752-6333

1922158468 — DR. PETRA PAULE M.D.
Practice Location Address:

1000 BRISTOL ST N , SUITE #1B
NEWPORT BEACH, CA
92660-8916

Practice Phone: 949-752-6300
Practice Fax:

1649313529 — ALLEN JOSEPH DUMOLIEN A.T.C.
Practice Location Address:

1000 BRISTOL ST N , SUITE 25
NEWPORT BEACH, CA
92660-8916

Practice Phone: 949-250-1112
Practice Fax:

1306135330 — HILARY THIBAULT PTA
Practice Location Address:

1000 BRISTOL ST N , SUITE #25
NEWPORT BEACH, CA
92660-8916

Practice Phone: 949-250-1112
Practice Fax:

1710595624 — MR. JEFFREY WILLIAMS LPC
Practice Location Address:

803 WYEMOUTH DR
NEWPORT NEWS, VA
23602-8916

Practice Phone: 702-809-0205
Practice Fax:

1306884010 — SOUTHEAST OXYGEN, INC.
Practice Location Address:

1829 S DIXIE HWY
POMPANO BEACH, FL
33060-8916

Practice Phone: 954-941-1288
Practice Fax: 954-941-3380

Directions to “ DR. MICHAEL ROSS LAND D.O.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.