Gregory R. Mack Md, Inc
LBN: Gregory R. Mack Md, Inc
Gregory R. Mack Md, Inc is an health care organization with primary practice located at 8008 Frost St Suite 403, San Diego CA 92123-4205. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is the primary health care specialty.
Gregory R. Mack Md, Inc can be contacted via phone (858) 715-9200, or through Mack, Gregory Robert via phone (858) 715-9200.
Contact Information
Primary practice address
8008 Frost St Suite 403
San Diego CA 92123-4205
Phone: (858) 715-9200
Fax: (858) 715-1230
Website:
Authorized official contact:
Name: Mack, Gregory Robert Doctor of Medicine (MD)
Phone: (858) 715-9200
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | G37547 | California |
| Allopathic & Osteopathic Physicians / Surgery of the Hand | 2086S0105X | G37547 | California |
Profile Details
| NPI number | 1962589234 |
|---|---|
| LBN Legal business name | Gregory R. Mack Md, Inc |
| DBA Doing business as | |
| Authorized official | Mack, Gregory Robert Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Sep 22nd, 2017 - about 7 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 | 1962589234 | NPPES |
| California | MEDICAID | 00G375470 | |
| California | Other | W19719 |
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