# GREG VIGNA MD CLCP

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

## Provider details

- **NPI number:** 1598284861
- **Authorized official:** EMILY MEYERS (A/R MANAGER)
- **Authorized official phone:** (805) 963-3757

## Contact information

- **Practice address:** 1303 MABLE AVE, MODESTO, CA 95355
- **Practice address phone:** (318) 548-2649
- **Practice address fax:** (805) 564-3332
- **Mailing address:** 512 E GUTIERREZ ST STE C, SANTA BARBARA, CA 93103-5223
- **Mailing address phone:** (805) 963-3757
- **Mailing address fax:** (805) 564-3332

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | C54741 | SD | Yes |

## Other

- **Enumeration date:** 09/18/2017
- **Last updated:** 05/01/2018