Individual
GRETA JO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26522 LA ALAMEDA STE 370, MISSION VIEJO, CA 92691
(949) 600-7864
Mailing address
26522 LA ALAMEDA STE 370, MISSION VIEJO, CA 92691-6330
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A147242
CA
207L00000X
Anesthesiology Physician
P2690
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2008
Last updated
05/26/2019
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