Gerald Grega DC

NPI 1003821471 - Chiropractor - 111N00000X

NPI Details
NPI 1003821471
Gender Male
Enumeration Date 07/31/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
101 N LA BREA AVE
#101
INGLEWOOD CA, 90301-1769, US
Phone (310) 674-1565
Fax (310) 674-1542
Business Location
17750 SHERMAN WAY
#300
RESEDA CA, 91335-3380, US
Phone (818) 705-7200
Fax (818) 343-0808
Toxanomy
Taxonomy Code 111N00000X
License State California
License Number DC20611
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According to our database, Dr. Gerald Grega DC NPI is 1003821471, taxonomy code is 111N00000X and license number is DC20611, license state is located at California. Gerald Grega DC physically located at 101 N La Brea Ave, Inglewood CA, 90301-1769. NPI Number Gerald Grega DC has the Individual type.

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1003821471 NPI number is provided on an as is basis without warranty of any kind. 1003821471 is maintained by the National Plan & Provider Enumeration System. The contents of Gerald Grega DC are for informational purposes only.