Provider Demographics
NPI:1689827776
Name:ROSS, ALLISON MARIE JONES (MD)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:MARIE JONES
Last Name:ROSS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4150 REGENTS PARK ROW
Mailing Address - Street 2:SUITE 245
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-9124
Mailing Address - Country:US
Mailing Address - Phone:619-309-9678
Mailing Address - Fax:858-546-0061
Practice Address - Street 1:9500 GILMAN DR
Practice Address - Street 2:STUDENT HEALTH SERVICE UCSD
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92093-0039
Practice Address - Country:US
Practice Address - Phone:858-822-4757
Practice Address - Fax:858-534-0814
Is Sole Proprietor?:No
Enumeration Date:2008-11-03
Last Update Date:2021-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA76896207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine