# GELLER MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** United Physicians Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639258239
- **Authorized official:** DR. RANDALL CRAIG GREGSON D.C. (CLINIC DIRECTOR)
- **Authorized official phone:** (760) 630-8400

## Contact information

- **Practice address:** 611 K ST UNIT B, PMB\#371, SAN DIEGO, CA 92101-7091
- **Practice address phone:** (760) 207-2768
- **Practice address fax:** (760) 557-2309
- **Mailing address:** 465 COLLEGE BLVD STE 1, OCEANSIDE, CA 92057-5435
- **Mailing address phone:** (760) 630-8400
- **Mailing address fax:** (760) 630-8594

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | DC19135 | CA | — |
| 111N00000X | Chiropractor | DC25424 | CA | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 20A8052 | CA | Yes |
| 225100000X | Physical Therapist | PT26629 | CA | — |
| 225200000X | Physical Therapy Assistant | AT2851 | CA | — |
| 363A00000X | Physician Assistant | PA17862 | CA | — |

## Other

- **Enumeration date:** 11/03/2006
- **Last updated:** 03/18/2010
