Individual
GREGORY ALLAN HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1669 N ODONNELL WAY, ORANGE, CA 92867-3634
(714) 921-3919
(714) 704-9197
Mailing address
1669 N ODONNELL WAY, ORANGE, CA 92867-3634
(714) 921-3919
(714) 704-9197
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
21761
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
159914
CITY OF ORANGE BUSINESS LICENSE CERTIFICATE
CA
01
—
72717
STATE OF CALIFORNIA DEPARTMENT OF PUBLIC HEALTH
CA
Enumeration date
02/07/2012
Last updated
08/01/2023
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