Individual
GREGORY SCOTT KEARL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1509 WILSON TER, GLENDALE, CA 91206-4007
(818) 409-8000
(818) 546-5632
Mailing address
225 S LAKE AVE, 535, PASADENA, CA 91101-3005
(626) 795-6596
(626) 795-8247
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G79227
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G792270
BLUE SHIELD
CA
05
—
00G792270
—
CA
Enumeration date
07/27/2006
Last updated
07/08/2007
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