NPI 1063886950
Jeremy Ross, MED
Practice location
- Address
- 11301 Wilshire Blvd, Los Angeles, CA 90073-1003
- Phone
- (310) 478-3711
- Mailing address
- 1409 Midvale Ave APT 204, Los Angeles, CA 90024-5434
Registered specialties
Clinical Exercise Physiologist
Primary
Registry record
- NPI
- 1063886950
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 16 Nov 2015
- Record last updated
- 16 Nov 2015
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.