Organization
GELLER MEDICAL CORPORATION
Active
Other names
United Physicians Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL CRAIG GREGSON D.C. (CLINIC DIRECTOR)
(760) 630-8400
Entity
Organization
Contact information
Practice address
611 K ST UNIT B, PMB#371, SAN DIEGO, CA 92101-7091
(760) 207-2768
(760) 557-2309
Mailing address
465 COLLEGE BLVD STE 1, OCEANSIDE, CA 92057-5435
(760) 630-8400
(760) 630-8594
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC19135
CA
111N00000X
Chiropractor
DC25424
CA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
20A8052
CA
225100000X
Physical Therapist
PT26629
CA
225200000X
Physical Therapy Assistant
AT2851
CA
363A00000X
Physician Assistant
PA17862
CA
Other
Enumeration date
11/03/2006
Last updated
03/18/2010
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