Gross, Stacey B
Gross, Stacey B is an individual health care provider with primary practice located at 8635 W 3Rd St Suite 1190, Los Angeles CA 90048-6101. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Gross, Stacey B can be contacted via phone (310) 652-4600.Contact Information
Primary practice address
8635 W 3Rd St Suite 1190
Los Angeles CA 90048-6101
Phone: (310) 652-4600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 537271 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | NP9433 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | NP9433 | California |
Profile Details
| NPI number | 1760720221 |
|---|---|
| LBN Legal business name | Gross, Stacey B |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2013 |
| Last updated | Jun 28th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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