Individual
GREGOR MCIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
836 14TH ST, MANHATTAN BEACH, CA 90266
(310) 346-9422
Mailing address
836 14TH ST, MANHATTAN BEACH, CA 90266
(310) 346-9422
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A154890
CA
Other
Enumeration date
07/15/2014
Last updated
12/28/2021
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