Loren, Gregory James

Loren, Gregory James is an individual health care provider with primary practice located at 332 Santa Fe Dr Suite 110, Encinitas CA 92024-5143. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Loren, Gregory James can be contacted via phone (760) 943-6700.

Contact Information

Primary practice address
332 Santa Fe Dr Suite 110 Encinitas CA 92024-5143
Phone: (760) 943-6700
Fax: (760) 632-4292
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X G75140 California

Profile Details

NPI number 1578655106
LBN Legal business name Loren, Gregory James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated Jan 21st, 2013 - about 12 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 1578655106 NPPES
California Other 03-0431018 TRICARE
California MEDICAID GR0093170 TRICARE
California Other ZZZ049182 TRICARE

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