Individual
GREGORY ALLEN STAINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD FACS
Contact information
Practice address
1212 SKYLARK DR, LA JOLLA, CA 92037-7738
(661) 717-0237
Mailing address
1212 SKYLARK DR, LA JOLLA, CA 92037-7738
(661) 717-0237
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G41135
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G411350
—
CA
05
—
ZZZ37940Z
—
CA
Enumeration date
09/02/2005
Last updated
12/12/2024
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