BRIAN R GROSS,MD,INC.
Suppliers at Tournament Rd, Santa Clarita, CA

License number
California 156FX1100X
Category
Suppliers
Type
Eyewear Supplier (Equipment, not the service)
Owner
Name: DR. BRIAN RONALD GROSS MD
Title: OWNER/MD
Phone: (661) 255-6622
Address
Address
25880 Tournament Rd SUITE 109, Santa Clarita, CA 91355
National Provider ID: 1366616476
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BRIAN R. GROSS, M.D., INC

Santa Clarita, CA

Status:
Inactive
Industry:
Medical Doctor's Office
Doing business as:
Brian R Gross Inc
Registration:
Dec 26, 1996
Phone:
(661) 255-6622 (Phone), (661) 255-6628 (Fax)
Addresses:
27420 Tourney Rd #100, Valencia, CA 91355 (Physical)
25880 Tournament Rd, Santa Clarita, CA 91355
State ID:
C1795925
Business type:
Articles of Incorporation
President:
Brian R. Gross (President)

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