Mark Gross, M.S.W

NPI 1780895524 · on the registry since 2007 · sole proprietor

Practice

Address: 2045 Fairmont Dr
San Leandro, CA 94578
Phone: (510) 667-7511
Fax: (510) 667-7522
Organisation at this address: Alameda County
Eden Adult Community Support Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 46

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

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