Provider Demographics
NPI:1558364836
Name:ROSS, STEVEN DOUGLAS (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:DOUGLAS
Last Name:ROSS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:101 THE CITY DR. SOUTH
Mailing Address - Street 2:PAVILION LLL
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868
Mailing Address - Country:US
Mailing Address - Phone:714-456-5759
Mailing Address - Fax:714-456-7547
Practice Address - Street 1:101 THE CITY DR. SOUTH
Practice Address - Street 2:PAVILION LLL
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868
Practice Address - Country:US
Practice Address - Phone:714-456-5759
Practice Address - Fax:714-456-7547
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2008-04-28
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Provider Licenses
StateLicense IDTaxonomies
CAG37046207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWG37046AMedicare PIN