Individual
GREGORY SEAN PANICCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
610 EUCLID AVE STE 200, NATIONAL CITY, CA 91950-2951
(619) 267-9257
(619) 267-9273
Mailing address
610 EUCLID AVE STE 200, NATIONAL CITY, CA 91950-2951
(619) 327-0155
(619) 327-0163
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
2084P0800X
Psychiatry Physician
Primary
G76979
CA
Other
Enumeration date
12/26/2006
Last updated
10/06/2025
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