Doctor Name: | MRS. SORAYA ROSS |
NPI Number: | 1417028192 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHYSICIAN ASSISTANT |
License Number: | PA15676 |
Business Practice Address: | 6901 Atlantic Ave Bell, CA - 902013646 |
Business Phone Number: | 3233266700 |
Business Fax Number: | 3235629208 |
Mailing Address: | 2503 Las Lomitas Dr, HACIENDA HEIGHTS |
State: | CA |
Postal Code: | 917455133 |
Phone Number: | 6262527899 |
Fax Number: | |
NPI Enumeration Date: | 11/13/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA15676 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |