Brewster, Gregory Scott

Brewster, Gregory Scott is an individual health care provider with primary practice located at 111 N Sepulveda Blvd Ste 210 , Manhattan Beach CA 90266-6849. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Brewster, Gregory Scott can be contacted via phone (310) 379-2134.

Contact Information

Primary practice address
111 N Sepulveda Blvd Ste 210 Manhattan Beach CA 90266-6849
Fax: (310) 379-4856
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A61173 California
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X A61173 California

Profile Details

NPI number 1639164007
LBN Legal business name Brewster, Gregory Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Aug 13th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639164007 NPPES
California MEDICAID 00A611730

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