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Individual

GREGORY K POUSSON

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12401 WASHINGTON BLVD, WHITTIER, CA 90602-1006
(562) 698-0811
(818) 587-2493
Mailing address
PO BOX 4419, WOODLAND HILLS, CA 91365-4419
(800) 506-6895
(818) 587-2493

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G89275
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A606790
BLUE SHIELD
CA
05
00A606790
CA
Enumeration date
06/10/2006
Last updated
07/08/2007
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