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Organization

ANITA K. GREGORY, M.D. APC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANITA KAY GREGORY M.D. (OWNER/PRESIDENT)
(714) 835-8300
Entity
Organization

Contact information

Practice address
1010 W LA VETA AVE, SUITE 470, ORANGE, CA 92868-4304
(714) 835-8300
(714) 835-8304
Mailing address
1010 W LA VETA AVE, SUITE 470, ORANGE, CA 92868-4304
(714) 835-8300
(714) 835-8304

Taxonomy

Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
G74192

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G74192
STATE LICENSE
CA
Enumeration date
04/14/2009
Last updated
06/12/2009
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