| Hyman Gross, Md, Inc | |
|
2021 Santa Monica Blvd Suite 320e Santa Monica CA 90404-2208 | |
| (310) 998-2287 | |
| (310) 998-2241 |
| Full Name | Hyman Gross, Md, Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2021 Santa Monica Blvd, Santa Monica, California |
| Authorized Official Name and Position | Holly Gross (OFFICE MANAGER) |
| Authorized Official Contact | 3109982287 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hyman Gross, Md, Inc 2021 Santa Monica Blvd Suite 320e Santa Monica CA 90404-2208 Ph: (310) 998-2287 | Hyman Gross, Md, Inc 2021 Santa Monica Blvd Suite 320e Santa Monica CA 90404-2208 Ph: (310) 998-2287 |
| NPI Number | 1275893521 |
|---|---|
| Provider Enumeration Date | 05/21/2012 |
| Last Update Date | 05/21/2012 |
| Medicare PECOS PAC ID | 0840454823 |
|---|---|
| Medicare Enrollment ID | O20120605000152 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275893521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Hyman Gross |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356383350 PECOS PAC ID: 8729242706 Enrollment ID: I20120605000209 |
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