NPI 1003853730
Ian Beaudoin Ross, MD
Practice location
- Address
- 630 S Raymond Ave Suite 330, Pasadena, CA 91105-3278
- Phone
- (626) 793-8194
- Fax
- (626) 793-3664
Registered specialties
Neurological Surgery Physician
Primary
Registry record
- NPI
- 1003853730
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 1 Jun 2006
- Record last updated
- 12 Dec 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.