# GREGORY K ALBAUGH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1811936982
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 20A8760 | CA | Yes |

## Other

- **Enumeration date:** 06/05/2006
- **Last updated:** 02/10/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 77-0079544 | BLUE CROSS | CA |
| 05 | — | GR0098310 | — | CA |
| 01 | — | P00224835 | RR MEDICARE | CA |
| 01 | — | ZZZ08582Z | BLUE SHIELD | CA |