Individual
DR. GREGORY J. MACCHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
27700 MEDICAL CENTER RD, MISSION VIEJO, CA 92691-6426
(949) 364-1400
Mailing address
27401 LOS ALTOS, SUITE 180, MISSION VIEJO, CA 92691-6316
(949) 582-9624
(949) 582-9626
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01044919A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200112130
—
IN
01
—
G88576
CA LICENSE
CA
Enumeration date
12/22/2005
Last updated
08/30/2010
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