Gregory, Richard

Gregory, Richard is an sole proprietor health care provider with primary practice located at 29039 Hollow Oak Ct , Agoura Hills CA 91301. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Gregory, Richard can be contacted via phone (818) 438-7882.

Contact Information

Primary practice address
29039 Hollow Oak Ct Agoura Hills CA 91301
Phone: (818) 438-7882
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 15519 California

Profile Details

NPI number 1649496274
LBN Legal business name Gregory, Richard
Credentials MPSA, PA-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2007
Last updated Jan 16th, 2020 - about 5 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 1649496274 NPPES
California Other W17030 GROUP PTAN
California Other 15519 GROUP PTAN

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