Greg Vigna Md Clcp

LBN: Greg Vigna Md Clcp
Greg Vigna Md Clcp is an health care organization with primary practice located at 1303 Mable Ave , Modesto CA 95355. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as the primary health care specialty. Greg Vigna Md Clcp can be contacted via phone (318) 548-2649, or through Meyers, Emily via phone (805) 963-3757.

Contact Information

Primary practice address
1303 Mable Ave Modesto CA 95355
Phone: (318) 548-2649
Fax: (805) 564-3332
Website:
Map and Directions
Authorized official contact:
Name: Meyers, Emily
Phone: (805) 963-3757

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X C54741 South Dakota

Profile Details

NPI number 1598284861
LBN Legal business name Greg Vigna Md Clcp
DBA Doing business as
Authorized official Meyers, Emily
Entity Organization
Organization subpart 1 No
Enumeration date Sep 18th, 2017
Last updated May 1st, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598284861 NPPES
California MEDICAID 1376514190

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