Individual
BRYAN CHARLES MACGREGOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
PO BOX 710145, SAN DIEGO, CA 92171-0145
(619) 346-4020
Mailing address
PO BOX 710145, SAN DIEGO, CA 92171-0145
(619) 346-4020
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
MPSS-HFOMJS
CA
175T00000X
Peer Specialist
Primary
MPSS-HFOMJS
CA
175T00000X
Peer Specialist
—
—
Other
Enumeration date
05/19/2022
Last updated
04/12/2026
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