Gregory J Wiener M D Professional Corporation
LBN: Gregory J Wiener M D Professional Corporation
Gregory J Wiener M D Professional Corporation is an health care organization with primary practice located at 353 Church Ave Ste A , Chula Vista CA 91910-3906. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty.
Gregory J Wiener M D Professional Corporation can be contacted via phone (619) 585-8883, or through Wiener, Gregory James via phone (619) 585-8883.
Contact Information
Primary practice address
353 Church Ave Ste A
Chula Vista CA 91910-3906
Phone: (619) 585-8883
Fax:
Website:
Authorized official contact:
Name: Wiener, Gregory James Doctor of Medicine (MD)
Phone: (619) 585-8883
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | A41749 | California |
Profile Details
| NPI number | 1376728287 |
|---|---|
| LBN Legal business name | Gregory J Wiener M D Professional Corporation |
| DBA Doing business as | |
| Authorized official | Wiener, Gregory James Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 9th, 2008 |
| Last updated | Aug 14th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376728287 | NPPES |
| California | Other | W22034 | MEDICARE GROUP PROVIDER |
| California | MEDICAID | 00A417490 | MEDICARE GROUP PROVIDER |
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