Provider Demographics
NPI:1568751311
Name:HERRON, ROSS MARTIN JR (MD)
Entity Type:Individual
Prefix:DR
First Name:ROSS
Middle Name:MARTIN
Last Name:HERRON
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:1726 2ND ST
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90266-7012
Mailing Address - Country:US
Mailing Address - Phone:909-859-7290
Mailing Address - Fax:909-859-7711
Practice Address - Street 1:100 RED CROSS CIR
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91768-2580
Practice Address - Country:US
Practice Address - Phone:909-859-7290
Practice Address - Fax:909-859-7711
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-01
Last Update Date:2024-04-06
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Provider Licenses
StateLicense IDTaxonomies
CAG61602207ZB0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZB0001XAllopathic & Osteopathic PhysiciansPathologyBlood Banking & Transfusion Medicine