Individual
DR. GREGORY R APPLEGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6855 NOBLE AVE, VAN NUYS, CA 91405-3729
(818) 901-0115
(818) 901-9529
Mailing address
6855 NOBLE AVE, VAN NUYS, CA 91405-3729
(818) 901-0115
(818) 901-9529
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G57333
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G573330
—
CA
01
—
TD076
PTAN
CA
Enumeration date
08/23/2006
Last updated
02/07/2014
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