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General NPI Number Information
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NPI Number | 1477708766
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Entity Type | Organization
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Legal Business Name | KATHRYN A ROSS, MD INC
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Dates
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Enumeration Date | 12/01/2008
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Last Update Date | 02/23/2011
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Provider Practice Location Address
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Address Line | 901 DOVER DR SUITE 122
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-5538
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Country | US
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Telephone | 949-650-8700
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Fax | 949-650-0877
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Provider Business Mailing Address
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Address Line | 901 DOVER DR SUITE 122
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-5538
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Country | US
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Telephone | 949-650-8700
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Fax | 949-650-0877
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Authorized Official
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Title or Position | PHYSICIAN/CEO
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Name | KATHRYN A ROSS
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Credential | M.D.
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Telephone | 949-943-1376
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | G42979
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License Number State | CA
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