Individual provider · Type 1 NPI

Kenneth Gary Gross, MD

Dermatology Physician · San Diego, CA

NPI number 1104865898 Active

Practice location

5222 Balboa Ave, Sixth Floor
San Diego, CA 92117-6904

Fax (858) 292-0514

Specialties and licenses

TaxonomyCodeLicense
MOHS-Micrographic Surgery Physician 207ND0101XA37440 (CA)
Procedural Dermatology Physician 207NS0135XA37440 (CA)
Dermatology Physician Primary 207N00000XA37440 (CA)

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

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About NPI 1104865898

Kenneth Gary Gross, MD's National Provider Identifier is 1104865898, issued on Jun 6, 2006. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in San Diego, CA. The record was last updated on May 5, 2008.