Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | A99544 | CA |
NPI | 1013175009 |
---|---|
Provider Name | Erin Andrea Gross |
First Address | San Diego, CA 92193-2410 |
Second Address | San Diego, CA 92103-9001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2008 |
Last Update Date | 08/02/2019 |