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Dr. Kenneth Gary Gross, MD
Dermatology Physician in San Diego, California
NPI 1104865898

Kenneth Gary Gross is a Dermatology Physician based in San Diego, CA. Kenneth Gary Gross practices in San Diego, CA and has the professional credentials of MD. The NPI Number for Kenneth Gary Gross is 1104865898 and holds a License No. A37440 (California).

The current practice location address for Kenneth Gary Gross is 5222 Balboa Ave, San Diego, CA and can be reached out via phone at 858-292-5101 and via fax at 858-292-0514.

Location: 5222 Balboa Ave, San Diego, CA, 92117-6904
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104865898
Provider Name
Kenneth Gary Gross
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5222 Balboa Ave, San Diego, CA, 92117-6904
Phone Number
858-292-5101
Fax Number
858-292-0514
Provider Enumeration Date
06/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A374400 05 CA
A37440 01 CA CA STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
5222 Balboa Ave
City
San Diego
State
California
Zip
92117-6904
Phone Number
858-292-5101
Fax Number
858-292-0514
person
Provider Business Mailing Address Details
Address
5222 Balboa Ave
City
San Diego
State
California
Zip
92117-6904
Phone Number
858-292-5101
Fax Number
858-292-0514
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
-
Taxonomy
207N00000X
License No.
A37440 (California)
Definition
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 and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
MOHS-Micrographic Surgery
Taxonomy
207ND0101X
License No.
A37440 (California)
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
Procedural Dermatology
Taxonomy
207NS0135X
License No.
A37440 (California)
Definition
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
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