Search › California › 171100000X
Ross Lake, ROSS LAKE
NPI 1639247034 · on the registry since 2006 · sole proprietor
Practice
- Address
- 311 Luce Ave
Ukiah, CA 95482 - Phone
- (707) 462-4448
- Fax
- (707) 595-5565
- Organisation at this address
- The Orthopedic Wellness Center
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-06-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California