Individual
DR. GREGORY SPENCER MYNKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
32475 OAK KNOLL LN, LAKE ELSINORE, CA 92530-8324
(951) 609-5028
(951) 678-4287
Mailing address
32475 OAK KNOLL LN, LAKE ELSINORE, CA 92530-8324
(951) 609-5028
(951) 678-4287
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
G 74144
CA
208D00000X
General Practice Physician
Primary
G74144
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G 74144
CA STATE MEDICAL LICENSE
CA
Enumeration date
08/03/2006
Last updated
07/16/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us