Greggory R. Devore M.D. A Medical Corporation in Pasadena - Specialist

Greggory R. Devore M.D. A Medical Corporation - NPI 1679762702

Greggory R. Devore M.D. A Medical Corporation is a Specialist in Pasadena, California. Greggory R. Devore M.D. A Medical Corporation practices all healthcare services and medical treatments related to Specialist. The NPI Number for Greggory R. Devore M.D. A Medical Corporation is 1679762702. The last update date is 2018-10-04.

Greggory R. Devore M.D. A Medical Corporation's current location address is 50 Alessandro Pl Ste 330, Pasadena, California. You can contact this provider via phone number 6265838911 and fax number 6265838894. The mailing address for Greggory R. Devore M.D. A Medical Corporation is 50 Alessandro Pl Ste 330, Pasadena, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Greggory R. Devore M.D. A Medical Corporation
Address 50 Alessandro Pl Ste 330, Pasadena, California
Phone Number 6265838911
Fax Number 6265838894
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Devore Russell Greggory
Credentials M.D.
Telephone Number 6265838911

NPI Number Detail

NPI Number 1679762702
Provider Enumeration Date 2007-10-15
Last Updated Date 2018-10-04

Provider Mailing Address Detail

Address 50 Alessandro Pl Ste 330
City Pasadena
State California (CA)
Post Code 911053187
Phone Number 6265838911
Fax Number 6265838894

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No G44446
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00G444460 CA --
00G444461 CA --
1679762702 CA --

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FAQs about Greggory R. Devore M.D. A Medical Corporation

What is the unique identifier code issued to Greggory R. Devore M.D. A Medical Corporation by the Centers for Medicare & Medicaid Services?

The Greggory R. Devore M.D. A Medical Corporation has been assigned the NPI (National Provider Identifier) 1679762702. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Greggory R. Devore M.D. A Medical Corporation's facilities are situated?

The facilities of Greggory R. Devore M.D. A Medical Corporation are physically located at the following address: 50 Alessandro Pl Ste 330, Pasadena, CA, 911053187.

What is Greggory R. Devore M.D. A Medical Corporation's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Greggory R. Devore M.D. A Medical Corporation is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.

On what date did the Greggory R. Devore M.D. A Medical Corporation receive its 1679762702 assignment from the Centers for Medicare & Medicaid Services?

The Greggory R. Devore M.D. A Medical Corporation was assigned its 1679762702 by the Centers for Medicare & Medicaid Services on 2007-10-15.

When was the information related to Greggory R. Devore M.D. A Medical Corporation most recently updated or refreshed?

The details pertaining to the Greggory R. Devore M.D. A Medical Corporation, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-10-04.

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