Dr. Ian Beaudoin Ross
Neurosurgeon
630 S Raymond Ave Suite 330
Pasadena
, California 91105-3278
Dr. Ian Beaudoin Ross
Neurosurgeon
630 S Raymond Ave Suite 330
Pasadena
, California 91105-3278
(626) 793-3664
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About
Features
Specialties
- Neurosurgeon
Languages spoken
- English
Location
First Address
- Dr. Ian Beaudoin Ross
- 630 S Raymond Ave Suite 330
- Pasadena, CA
- Zip : 91105-3278
- Fax : (626) 793-3664
- Phone : (626) 793-8194
Second Address
- Dr. Ian Beaudoin Ross
- 630 S Raymond Ave Suite 330
- Pasadena, CA
- Zip : 91105-3278
- Fax : (626) 793-3664
- Phone : (626) 793-8194
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207T00000X | Neurosurgeon | G87566 | CA |
National Provider Identifier
| NPI | 1003853730 |
|---|---|
| Provider Name | Dr. Ian Beaudoin Ross |
| First Address | Pasadena, CA 91105-3278 |
| Second Address | Pasadena, CA 91105-3278 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/06/2006 |
| Last Update Date | 12/12/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00G875660 | (05) | 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.