Provider Demographics
NPI:1699839332
Name:ROSS, ALAN B (MD)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:B
Last Name:ROSS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1220 HEMLOCK WAY
Mailing Address - Street 2:SUITE 203
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92707
Mailing Address - Country:US
Mailing Address - Phone:714-755-0224
Mailing Address - Fax:714-755-0578
Practice Address - Street 1:1220 HEMLOCK WAY
Practice Address - Street 2:SUITE 203
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92707
Practice Address - Country:US
Practice Address - Phone:714-755-0224
Practice Address - Fax:714-755-0578
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAG32090207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine