Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEITH MARK GROSS, MD
Active Sole ProprietorKEITH MARK GROSS, MD is a Dermatology healthcare provider located in VICTORVILLE, California. NPI 1952357188 is currently active in the NPPES registry. Verify at CMS.
Dermatology · VICTORVILLE, CA
Registration Details
- NPI Number
- 1952357188
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 26, 2006 (20.23134374991 yrs)
- Last Updated
- Jun 28, 2018
- Licenses
-
7006 (NV)G63544 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12550 HESPERIA RD400VICTORVILLE, CA, 92395Browse CA providers · Browse ZIP 92395
- Phone
- 9093358638
- Fax
- 9093358644
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Dermatology
Other Dermatology Providers in VICTORVILLE, CA
| Name | Credential | NPI |
|---|---|---|
| HAI T TRAN | M.D. | 1093763104 |
| DR. RICHARD T LE | DO | 1417070566 |
| LIZA GILL | M.D. | 1508240458 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.