Whalio Doctors

NPI 1104972900

Brian David Ross, MDPHD

Practitioner Specialist Pasadena, CA

Practice location

Address
10 Pico St, Pasadena, CA 91105-3201
Phone
(626) 397-5840
Fax
(626) 397-5846

Registered specialties

Specialist Primary
Other Service Providers Taxonomy 174400000X Licence A053596 (CA)

Registry record

NPI
1104972900
Entity type
Individual
Sex (as registered)
Male
NPI issued
25 Jan 2007
Record last updated
3 Jun 2010

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.