Provider Demographics
NPI:1164580510
Name:ROSS, STEVEN B (DC)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:B
Last Name:ROSS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:634 STEVENS AVE
Mailing Address - Street 2:
Mailing Address - City:SOLANA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92075-2422
Mailing Address - Country:US
Mailing Address - Phone:858-481-1131
Mailing Address - Fax:858-433-0508
Practice Address - Street 1:634 STEVENS AVE
Practice Address - Street 2:
Practice Address - City:SOLANA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92075-2422
Practice Address - Country:US
Practice Address - Phone:858-481-1131
Practice Address - Fax:858-433-0508
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA29097111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor