Provider Demographics
NPI:1215013842
Name:ROSS, LEONARD STANLEY (DC)
Entity Type:Individual
Prefix:DR
First Name:LEONARD
Middle Name:STANLEY
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 1:6001A TRUXTUN AVE.
Mailing Address - Street 2:STE. 120
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-0679
Mailing Address - Country:US
Mailing Address - Phone:661-864-1100
Mailing Address - Fax:661-864-1215
Practice Address - Street 1:6001 TRUXTUN AVE
Practice Address - Street 2:STE. 120
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-0679
Practice Address - Country:US
Practice Address - Phone:661-864-1100
Practice Address - Fax:661-864-1215
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 10428111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor