Provider Demographics
NPI:1598033789
Name:ROSS, STEVE (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVE
Middle Name:
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 1:2476 S ATLANTIC BLVD
Mailing Address - Street 2:
Mailing Address - City:COMMERCE
Mailing Address - State:CA
Mailing Address - Zip Code:90040-1263
Mailing Address - Country:US
Mailing Address - Phone:323-780-1650
Mailing Address - Fax:323-780-8625
Practice Address - Street 1:2476 SOUTH ATLANTIC BLVD.
Practice Address - Street 2:
Practice Address - City:COMMERCE
Practice Address - State:CA
Practice Address - Zip Code:90040-1263
Practice Address - Country:US
Practice Address - Phone:323-780-1650
Practice Address - Fax:323-780-8625
Is Sole Proprietor?:No
Enumeration Date:2011-12-02
Last Update Date:2011-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23482111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor