Individual
DANIEL GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2701 S BRISTOL ST, SANTA ANA, CA 92704-6201
(714) 754-5454
Mailing address
11352 PINE ST, LOS ALAMITOS, CA 90720-3922
(415) 298-0653
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
21468
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95000964
CA
Other
Enumeration date
12/19/2011
Last updated
02/20/2024
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