MEDICARE: PATRICK GROSS

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1902452790
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICK GROSS

Provider Business Mailing Address
First Line	:	5731 W SLAUSON AVE STE 210
Second Line	:
City	:	CULVER CITY
State	:	CA
Zip	:	90230-6982
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1564 W 36TH PL
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90018-4503
Country	:	US
Telephone Number	:	323-766-9415
Fax Number	:

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

Provider Enumeration Date	:	08/16/2019
Last Update Date	:	08/16/2019

Similar Medicare Providers

1619802907 — MAYA ASHLEY CANIER
Practice Location Address:

1568 W 36TH PL
LOS ANGELES, CA
90018-4503

Practice Phone: 323-481-3442
Practice Fax:

1083959910 — MARZETTE MCGARY M.DIV.
Practice Location Address:

1568 W 36TH PL
LOS ANGELES, CA
90018-4503

Practice Phone: 310-999-5756
Practice Fax:

1245773290 — DELIANN-LUCILE CORPORATION
Practice Location Address:

1564 W 36TH PL
LOS ANGELES, CA
90018-4503

Practice Phone: 323-766-9415
Practice Fax: 323-766-1710

1922548932 — DELIANN-LUCILE CORPORATION
Practice Location Address:

1564 W 36TH PL
LOS ANGELES, CA
90018-4503

Practice Phone: 323-766-9415
Practice Fax: 323-766-1710

1033766696 — BOBBIE MONGER
Practice Location Address:

1564 W 36TH PL
LOS ANGELES, CA
90018-4503

Practice Phone: 323-766-9415
Practice Fax:

1508408212 — STARRENDA RICHMAN
Practice Location Address:

1564 W 36TH PL
LOS ANGELES, CA
90018-4503

Practice Phone: 562-986-3253
Practice Fax:

Directions to “ PATRICK GROSS ” 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.