Individual
DR. GREGG JOHN ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
24953 PASEO DE VALENCIA, BLDG A STE 24A, LAGUNA HILLS, CA 92653-4342
(949) 716-5280
(949) 716-5290
Mailing address
24953 PASEO DE VALENCIA, BLDG A STE 24A, LAGUNA HILLS, CA 92653-4342
(949) 716-5280
(949) 716-5290
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6537T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06537
CALIFORNIA LICENSE
CA
01
—
5085460001
DMERC
CA
05
—
SD0065370
—
CA
Enumeration date
06/30/2005
Last updated
03/07/2023
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