Daniel A Gross
Dermatologist Procedural Dermatology
18364 Clark St
Tarzana
, California 91356-3502
Daniel A Gross
Dermatologist Procedural Dermatology
18364 Clark St
Tarzana
, California 91356-3502
(818) 345-7448
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About
Features
Specialties
- Dermatologist
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- Daniel A Gross
- 18364 Clark St
- Tarzana, CA
- Zip : 91356-3502
- Fax : (818) 345-7448
- Phone : (818) 345-7122
Second Address
- Daniel A Gross
- 18364 Clark St
- Tarzana, CA
- Zip : 91356-3502
- Fax : (818) 345-7448
- Phone : (818) 345-7122
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207N00000X | Dermatologist | A20584 | CA |
| N | 207NS0135X | Procedural Dermatology | A20584 | CA |
National Provider Identifier
| NPI | 1396740056 |
|---|---|
| Provider Name | Daniel A Gross |
| First Address | Tarzana, CA 91356-3502 |
| Second Address | Tarzana, CA 91356-3502 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/06/2005 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A22222 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.