Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | G75920 | CA |
N | 111NI0900X | Internist | G75920 | CA |
N | 207RH0000X | Hematologist | G75920 | CA |
NPI | 1124065685 |
---|---|
Provider Name | Dr. Norman Warren Gross |
First Address | Seaside, CA 93955-7200 |
Second Address | Seaside, CA 93955-7200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2006 |
Last Update Date | 08/07/2007 |