# GREGORY A. MINEVICH M.D. PROFESSIONAL CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538482286
- **Authorized official:** MRS. MONIKA L KING (OFFICE MANAGER)
- **Authorized official phone:** (510) 582-8281

## Contact information

- **Practice address:** 1290 B ST STE 305, HAYWARD, CA 94541-2967
- **Practice address phone:** (510) 582-8281
- **Practice address fax:** (510) 582-4557
- **Mailing address:** 1290 B ST STE 305, HAYWARD, CA 94541-2967
- **Mailing address phone:** (510) 582-8281
- **Mailing address fax:** (510) 582-4557

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | A93150 | CA | Yes |

## Other

- **Enumeration date:** 03/09/2010
- **Last updated:** 01/28/2011