Individual
GREGORY HARVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5850 OBERLIN DR STE 100, SAN DIEGO, CA 92121-4710
(760) 436-7999
Mailing address
PO BOX 1176, CARDIFF, CA 92007-7176
(760) 436-7999
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
DC16404
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CHIRO LICENSE
DC16404
CA
Enumeration date
10/24/2008
Last updated
10/24/2008
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