Individual
GREGORY WAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
500 W HOSPITAL RD, FRENCH CAMP, CA 95231-9693
(209) 468-6937
(209) 468-7042
Mailing address
790 E WILLOW ST STE 200, LONG BEACH, CA 90806-2718
(562) 424-8111
(562) 492-6890
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
20A17640
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A17640
CALIFORNIA DO
CA
Enumeration date
05/21/2018
Last updated
12/12/2024
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